Trinity Counseling Associates of East Texas, Inc

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

00357 Issued in TX

Legal business name

TRINITY COUNSELING ASSOCIATES OF EAST TEXAS, INC

Practice address

703 S Main St
Jacksonville, TX 75766-2428

Phone

(903) 586-6736

Fax

(903) 586-2412

NPI assigned

Sep 16, 2009

Last updated

Sep 16, 2009By 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

Mr. James J Brown, LCSWNPI 1144217290

Title

Executive Director

Phone

(903) 586-6736

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• James J Brown, LCSW LPC

  • Mental Health Counselor
  • Jacksonville, TX
  • NPI 1144217290
  Authorized official Same address or phone
• Billie Smith Hopson

  • Marriage & Family Therapist
  • Jacksonville, TX
  • NPI 1164404919
  NPD (past)

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

{
    "created_epoch": "1253059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253059200000",
    "number": "1144553686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 S MAIN ST",
            "city": "JACKSONVILLE",
            "state": "TX",
            "postal_code": "757662428",
            "telephone_number": "903-586-6736",
            "fax_number": "903-586-2412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 S MAIN ST",
            "city": "JACKSONVILLE",
            "state": "TX",
            "postal_code": "757662428",
            "telephone_number": "903-586-6736",
            "fax_number": "903-586-2412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY COUNSELING ASSOCIATES OF EAST TEXAS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-16",
        "last_updated": "2009-09-16",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "903-586-6736",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "00357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kristy Verhage, PMHNP
• Matthew A Vierkant, MD
• Richard M Viken, MD
• Elizabeth Sorrell Wade, LPC
• Wal-Mart Stores Texas LLC (Walmart Pharmacy 10-0180)

• Mental Health Counselor in Jacksonville, TX
• Providers in Jacksonville, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2009; 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.