Active NPI
McLennan County
- Counselor
- Waco, TX
National Provider Identifier
1104123926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 19676
- Legal business name
- MCLENNAN COUNTY
- Practice address
- 2601 Gholson Rd
Waco, TX 76704-1106 - Phone
- (254) 757-5072
- Fax
- (254) 799-4902
- NPI assigned
- Feb 14, 2011
- Organization subpart
- Yes
- Parent organization
- MCLENNAN COUNTY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Robert Campos, BSW
- Title
- Director (Chief Probation Officer)
- Phone
- (254) 757-5072
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 19676 | TX | Primary |
| Social Worker | 104100000X | 19676 | TX |
Addresses
Primary practice location
2601 Gholson Rd
Waco, TX 76704-1106
Mailing address
2601 Gholson Rd
Waco, TX 76704-1106
Phone (254) 757-5072
Other names 1
- Bill Logue Juvenile Justice Center
National Provider Directory
National Provider Directory- Part of
- McLennan County
Locations
2601 Gholson Rd
Waco, TX 76704
Phone (254) 299-8880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297641600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1297641600000",
"number": "1104123926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2601 GHOLSON RD",
"city": "WACO",
"state": "TX",
"postal_code": "767041106",
"telephone_number": "254-757-5072",
"fax_number": "254-799-4902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 GHOLSON RD",
"city": "WACO",
"state": "TX",
"postal_code": "767041106",
"telephone_number": "254-757-5072",
"fax_number": "254-799-4902"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCLENNAN COUNTY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MCLENNAN COUNTY",
"enumeration_date": "2011-02-14",
"last_updated": "2011-02-14",
"status": "A",
"authorized_official_last_name": "CAMPOS",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "DIRECTOR (CHIEF PROBATION OFFICER)",
"authorized_official_telephone_number": "254-757-5072",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "BSW"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": "TX",
"license": "19676",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": "TX",
"license": "19676",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Bill Logue Juvenile Justice Center",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Waco, TX
- Roslyn Lanett McKinley, SERVICE PROVIDER
- John D McKinney II
- Kari King McKown, MOT, OTR
- Pamela Kay McKown, LCSW
- McLennan Community College
- McLennan County Emergency Physicians , PA
- McLennan County Hospitalist Services PA
- McLennan County Medical Education and Research Foundation
- McLennan County Nursing Home
- Denise Klaras McLeod, AU.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.