NPIMap

Organization Active NPI

Texarkana Regional Counseling Services

  • Clinical Social Worker
  • Texarkana, TX
National Provider Identifier
1124031869
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
32726 Issued in TX
Legal business name
TEXARKANA REGIONAL COUNSELING SERVICES
Practice address
5321 Summerhill Rd
Texarkana, TX 75503-1827
Phone
(903) 334-8022
Fax
(903) 334-7019
NPI assigned
Aug 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Lesa Donice Warren, LCSWNPI 1083600043
Title
Director
Phone
(903) 334-8022

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 32726 TX Primary

Addresses

Primary practice location

5321 Summerhill Rd
Texarkana, TX 75503-1827

Mailing address

PO Box 5725
Texarkana, TX 75505-5725
Phone (903) 334-8022

Other names 1

  • Behavioral Health Center of Texarkana Doing business as

National Provider Directory

National Provider Directory

Locations

5321 Summerhill Rd
Texarkana, TX 75503
Phone (903) 334-8022

Practitioners & affiliated clinicians

Practitioners 4

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": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124031869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5725",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755055725",
            "telephone_number": "903-334-8022",
            "fax_number": "903-334-7019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5321 SUMMERHILL RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755031827",
            "telephone_number": "903-334-8022",
            "fax_number": "903-334-7019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXARKANA REGIONAL COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "LESA",
        "authorized_official_middle_name": "DONICE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "903-334-8022",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "32726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Behavioral Health Center of Texarkana",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Texarkana, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.