Imagine Counseling & Consulting, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

IMAGINE COUNSELING & CONSULTING, PLLC

Doing business as

Debra K Iversen LCSW PLLC

Practice address

7919 Osborn Pkwy
Plano, TX 75024-5873

Phone

(469) 573-1726

NPI assigned

Aug 4, 2019

Last updated

Sep 14, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Debra K Iversen, LCSWNPI 1811911522

Title

Owner

Phone

(469) 573-1726

Specialties & licenses 1

Addresses

Other names 1

• Debra K Iversen LCSW PLLC Doing business as

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.

• Debra K Iversen, LCSW

  • Clinical Social Worker
  • Plano, TX
  • NPI 1811911522
  Authorized official Same address or phone

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

{
    "created_epoch": "1564876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600041600000",
    "number": "1093360315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7919 OSBORN PKWY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750245873",
            "telephone_number": "469-573-1726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7919 OSBORN PKWY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750245873",
            "telephone_number": "469-573-1726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGINE COUNSELING & CONSULTING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-04",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A",
        "authorized_official_last_name": "IVERSEN",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-573-1726",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Debra K Iversen LCSW PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Social Worker in Plano, TX
• Providers in Plano, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; 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.