NPIMap

Organization Active NPI

Central Texas Counseling Associates

Doing business as Professional Counseling Service

  • Clinical Social Worker
  • Killeen, TX
National Provider Identifier
1053855932
Registry record updated Dec 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
52691 Issued in TX
Legal business name
CENTRAL TEXAS COUNSELING ASSOCIATES
Doing business as
Professional Counseling Service
Practice address
1711 E Central Texas Expy Ste 103
Killeen, TX 76541-9145
Phone
(254) 526-7272
Fax
(254) 526-3949
NPI assigned
Dec 12, 2016
Last updated
Dec 12, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2016

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

Authorized official

Name
Jeffrey Robbins, LCSWNPI 1114068608
Title
Owner
Phone
(254) 526-7272

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 10114 TX
Clinical Social Worker 1041C0700X 62096 TX
Clinical Social Worker 1041C0700X 52691 TX Primary

Addresses

Primary practice location

1711 E Central Texas Expy Ste 103
Killeen, TX 76541-9145

Mailing address

1711 E Central Texas Expy Ste 103
Killeen, TX 76541-9145
Phone (254) 526-7272

Other identifiers 1

IdentifierTypeStateIssuer
2041428MedicaidTX

Other names 1

  • Professional Counseling Service Doing business as

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1481500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481500800000",
    "number": "1053855932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 E CENTRAL TEXAS EXPY STE 103",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765419145",
            "telephone_number": "254-526-7272",
            "fax_number": "254-526-3949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 E CENTRAL TEXAS EXPY STE 103",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765419145",
            "telephone_number": "254-526-7272",
            "fax_number": "254-526-3949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL TEXAS COUNSELING ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-12",
        "last_updated": "2016-12-12",
        "status": "A",
        "authorized_official_last_name": "ROBBINS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "254-526-7272",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "10114",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "62096",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "52691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2041428",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Counseling Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Killeen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; 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.