Organization Active NPI

Push Prenatal and Postpartum Counseling, PLLC

Doing business as Push Counseling & Coaching, PLLC

  • Mental Health Counselor
  • Addison, TX
National Provider Identifier
1043778442
Registry record updated Mar 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PUSH PRENATAL AND POSTPARTUM COUNSELING, PLLC
Doing business as
Push Counseling & Coaching, PLLC
Practice address
4811 Broadway St Ste 4
Addison, TX 75001-4694
Phone
(214) 596-8318
NPI assigned
Mar 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2019

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

Authorized official

Name
Tiffany Wicks, LPC
Title
Owner
Phone
(214) 596-8318

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

4811 Broadway St Ste 4
Addison, TX 75001-4694

Mailing address

4811 Broadway St Ste 4
Addison, TX 75001-4694

Other practice location 1

615 W Harwood Rd
Hurst, TX 76054-3106
Phone (214) 596-8318

Other names 1

  • Push Counseling & Coaching, PLLC Doing business as

National Provider Directory

National Provider Directory

Locations

4811 Broadway St
Ste 4
Addison, TX 75001
Phone (214) 596-8318

615 W Harwood Rd
Hurst, TX 76054
Phone (817) 449-0022

NPI Registry JSON

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

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551744000000",
    "number": "1043778442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4811 BROADWAY ST STE 4",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750014694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4811 BROADWAY ST STE 4",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750014694",
            "telephone_number": "214-596-8318"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "615 W Harwood Rd",
            "address_purpose": "LOCATION",
            "city": "Hurst",
            "state": "TX",
            "postal_code": "760543106",
            "country_code": "US",
            "telephone_number": "214-596-8318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PUSH PRENATAL AND POSTPARTUM COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-05",
        "last_updated": "2019-03-05",
        "status": "A",
        "authorized_official_last_name": "WICKS",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-596-8318",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Push Counseling & Coaching, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Addison, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; 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.