1. Home
  2. Directory
  3. Texas
  4. Beaumont
  5. Counselor
  6. NPI Profile

CARDINAL COMMUNITY CLINIC
NPI 1073904702
Counselor - Professional in Beaumont, TX

Active since February 17, 2015
4400 MLK BOULEVARD, BEAUMONT, TX 77710(409) 880-7681(409) 880-2263 Get Directions Write a Review

NPPES record last updated: March 20, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cardinal Community Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARDINAL COMMUNITY CLINIC (NPI 1073904702) is a healthcare organization registered as a professional in Beaumont, Texas and active in the NPI registry since February 2015. The organization lists Carl Sheperis, Department Chair, as its authorized official.

NPPES Registry Identity

NPI1073904702
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameCARDINAL COMMUNITY CLINIC
Location Address4400 MLK BOULEVARDBeaumont, TX 77710-0000
Mailing Address4400 Mlk Boulevard, Po 10034Beaumont, TX 77710-0000 · (409) 880-7681 · Fax (409) 880-2263
Phone(409) 880-7681
Fax(409) 880-2263
Organization SubpartYesParent: Lamar University
Authorized OfficialCarl SheperisDepartment Chair · (409) 880-8978
Enumeration DateFebruary 17, 2015
Last NPPES UpdateMarch 20, 2015
✔ NPI 1073904702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
4400 MLK BOULEVARD, Beaumont, TX 77710
Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cardinal Community Clinic's NPI number?

The NPI number for Cardinal Community Clinic is 1073904702. It was assigned to this organization in the NPPES registry on February 17, 2015.

Where is Cardinal Community Clinic located?

Cardinal Community Clinic is located at 4400 Mlk Boulevard, Beaumont, TX 77710. The listed phone number is (409) 880-7681.

What is Cardinal Community Clinic's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Cardinal Community Clinic was last updated on March 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.