Community Counseling Services

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

19782 Issued in TX

Legal business name

COMMUNITY COUNSELING SERVICES

Practice address

11360 West Lacoma Road
Lyford, TX 78569

Phone

(956) 343-1439

Fax

(956) 347-3182

NPI assigned

Jan 11, 2012

Last updated

Jan 11, 2012By 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

Mrs. Wenda Ann Kolterman, LPCNPI 1407036270

Title

Professional Counselor

Phone

(956) 343-1439

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Wenda Ann Kolterman, LPC

  • Professional Counselor
  • Lyford, TX
  • NPI 1407036270
  Authorized official Same address or phone

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1124398896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11360 WEST LACOMA COUNTY ROAD",
            "city": "LYFORD",
            "state": "TX",
            "postal_code": "78569",
            "telephone_number": "956-343-1439",
            "fax_number": "956-347-3182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11360 WEST LACOMA ROAD",
            "city": "LYFORD",
            "state": "TX",
            "postal_code": "78569",
            "telephone_number": "956-343-1439",
            "fax_number": "956-347-3182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-11",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "KOLTERMAN",
        "authorized_official_first_name": "WENDA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "956-343-1439",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "19782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179375401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Lyford, TX
• Providers in Lyford, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; 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.