NPIMap

Organization Active NPI

Christian Counseling Group Inc.

  • Clinical Social Worker
  • New Bedford, MA
National Provider Identifier
1083155782
Registry record updated Mar 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1019427 Issued in MA
Legal business name
CHRISTIAN COUNSELING GROUP INC.
Practice address
4364 Acushnet Ave
New Bedford, MA 02745-4614
Phone
(508) 496-0007
Fax
(508) 998-9483
NPI assigned
Mar 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2017

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

Authorized official

Name
David Laporte, LICSWNPI 1336223841
Title
Officer
Phone
(508) 496-0007

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 1019427 MA Primary

Addresses

Primary practice location

4364 Acushnet Ave
New Bedford, MA 02745-4614

Mailing address

1022 May St
New Bedford, MA 02745-4417
Phone (508) 496-0007

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": "1489449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489449600000",
    "number": "1083155782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 MAY ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027454417",
            "telephone_number": "508-496-0007",
            "fax_number": "508-998-9483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4364 ACUSHNET AVE",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027454614",
            "telephone_number": "508-496-0007",
            "fax_number": "508-998-9483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN COUNSELING GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-14",
        "last_updated": "2017-03-14",
        "status": "A",
        "authorized_official_last_name": "LAPORTE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "508-496-0007",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1019427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bedford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; 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.