Active NPI
Shiloh Counseling Services
- Marriage & Family Therapist
- Lubbock, TX
National Provider Identifier
1164542783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Edward Madoc Thomas, PH.D
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0010BG | Other | TX | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Marriage & Family Therapist
- Lubbock, TX
- NPI 1669592275
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.