NPIMap

Organization Active NPI

Effective Therapy Community Support Services Limited Liability Company

  • Community/Behavioral Health Agency
  • Irving, TX
National Provider Identifier
1043972599
Registry record updated Oct 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
EFFECTIVE THERAPY COMMUNITY SUPPORT SERVICES LIMITED LIABILITY COMPANY
Practice address
2300 Valley View LN Ste 725
Irving, TX 75062-5299
Phone
(214) 493-2313
NPI assigned
Oct 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2021

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

Authorized official

Name
Shameka Grant, LPCNPI 1346737244
Title
Owner/Ceo
Phone
(214) 493-2313

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X Primary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X
Mental Illness Community Based Residential Treatment Facility 320800000X

Addresses

Primary practice location

2300 Valley View LN Ste 725
Irving, TX 75062-5299

Mailing address

212 Burberry
Grand Prairie, TX 75052-0033
Phone (214) 493-2313

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1633996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633996800000",
    "number": "1043972599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 BURBERRY",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750520033",
            "telephone_number": "214-493-2313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 VALLEY VIEW LN STE 725",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750625299",
            "telephone_number": "214-493-2313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EFFECTIVE THERAPY COMMUNITY SUPPORT SERVICES LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-12",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "SHAMEKA",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "214-493-2313",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; 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.