Active NPI
David Martin Caldwell, M.A., L.P.C.
- Professional Counselor
- Greenville, TX
National Provider Identifier
1992951701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 11416
- Practice address
- 2611 Lee St
Greenville, TX 75401-4247 - Phone
- (903) 454-6334
- Fax
- (903) 454-1153
- NPI assigned
- Aug 12, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 11416 | TX | Primary |
Addresses
Primary practice location
2611 Lee St
Greenville, TX 75401-4247
Mailing address
2611 Lee St
Greenville, TX 75401-4247
Phone (903) 454-6334
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11416 | TX | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218499200000",
"number": "1992951701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2611 LEE ST",
"city": "GREENVILLE",
"state": "TX",
"postal_code": "754014247",
"telephone_number": "903-454-6334",
"fax_number": "903-454-1153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2611 LEE ST",
"city": "GREENVILLE",
"state": "TX",
"postal_code": "754014247",
"telephone_number": "903-454-6334",
"fax_number": "903-454-1153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALDWELL",
"first_name": "DAVID",
"middle_name": "MARTIN",
"credential": "M.A., L.P.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-12",
"last_updated": "2008-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "11416",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.