Organization Active NPI

Shiloh Counseling Services

  • Marriage & Family Therapist
  • Lubbock, TX
National Provider Identifier
1164542783
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
SHILOH COUNSELING SERVICES
Practice address
4630 50TH St
Suite 412
Lubbock, TX 79414-3521
Phone
(806) 794-3232
NPI assigned
Mar 29, 2007
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
Dr. Edward Madoc Thomas, PH.DNPI 1669592275
Title
Director and Owner
Phone
(806) 794-3232

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
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

4630 50TH St
Suite 412
Lubbock, TX 79414-3521

Mailing address

4630 50TH St
Suite 412
Lubbock, TX 79414-3521
Phone (806) 794-3232

Other identifiers 1

IdentifierTypeStateIssuer
0010BGOtherTXBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

4630 50th St
Ste 412
Lubbock, TX 79414
Phone (806) 781-6143

Practitioners & affiliated clinicians

Practitioners 1

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": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164542783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4630 50TH ST",
            "address_2": "SUITE 412",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794143521",
            "telephone_number": "806-794-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4630 50TH ST",
            "address_2": "SUITE 412",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794143521",
            "telephone_number": "806-794-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHILOH COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "MADOC",
        "authorized_official_title_or_position": "DIRECTOR AND OWNER",
        "authorized_official_telephone_number": "806-794-3232",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0010BG",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, 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.