NPIMap

Organization Active NPI

Counseling Management Inc.

  • Professional Counselor
  • Odessa, TX
National Provider Identifier
1003148453
Registry record updated Feb 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
57908 Issued in TX
Legal business name
COUNSELING MANAGEMENT INC.
Doing business as
ACT Counseling
Practice address
1901 E 37TH St
Ste.106
Odessa, TX 79762-6201
Phone
(432) 333-3667
Fax
(432) 580-3115
NPI assigned
Feb 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Daniel Paul Dorethy, LPC
Title
President
Phone
(432) 333-3667

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X 1211 TX
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X 57908 TX Primary

Addresses

Primary practice location

1901 E 37TH St
Ste.106
Odessa, TX 79762-6201

Mailing address

1901 E 37TH St
Ste.106
Odessa, TX 79762-6201
Phone (432) 333-3667

Other identifiers 2

IdentifierTypeStateIssuer
184909301MedicaidTX
027676801MedicaidTX

Other names 1

  • ACT Counseling Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1265760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265760000000",
    "number": "1003148453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 E 37TH ST",
            "address_2": "STE.106",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797626201",
            "telephone_number": "432-333-3667",
            "fax_number": "432-580-3115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 E 37TH ST",
            "address_2": "STE.106",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797626201",
            "telephone_number": "432-333-3667",
            "fax_number": "432-580-3115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING MANAGEMENT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-10",
        "last_updated": "2010-02-10",
        "status": "A",
        "authorized_official_last_name": "DORETHY",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "432-333-3667",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "1211",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "57908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "184909301",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "027676801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACT Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Odessa, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.