Active NPI
Christian Counseling Center
- Counselor
- Tampa, FL
National Provider Identifier
1194891275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Legal business name
- CHRISTIAN COUNSELING CENTER
- Practice address
- 1060 W. Busch Blvd
Ste 104
Tampa, FL 33612-7707 - Phone
- (813) 935-3917
- Fax
- (813) 935-5840
- NPI assigned
- Nov 28, 2006
- Last updated
- Apr 30, 2009
- 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
- Mr. Tom Biles
- Title
- Executive Director
- Phone
- (813) 935-3839
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | NU | Primary | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | NU | ||
| Mental Health Counselor | 101YM0800X | NU | ||
| Pastoral Counselor | 101YP1600X | NU | ||
| Social Worker | 104100000X | NU | ||
| Marriage & Family Therapist | 106H00000X | NU |
Addresses
Primary practice location
1060 W. Busch Blvd
Ste 104
Tampa, FL 33612-7707
Mailing address
1060 W. Busch Blvd
Ste 104
Tampa, FL 33612-7707
Phone (813) 935-3917
National Provider Directory
National Provider DirectoryLocations
1060 W Busch Blvd
Ste 104
Tampa, FL 33612
Phone (813) 935-3917
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1241049600000",
"number": "1194891275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1060 W. BUSCH BLVD",
"address_2": "STE 104",
"city": "TAMPA",
"state": "FL",
"postal_code": "336127707",
"telephone_number": "813-935-3917",
"fax_number": "813-985-5840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1060 W. BUSCH BLVD",
"address_2": "STE 104",
"city": "TAMPA",
"state": "FL",
"postal_code": "336127707",
"telephone_number": "813-935-3917",
"fax_number": "813-935-5840"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHRISTIAN COUNSELING CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-28",
"last_updated": "2009-04-30",
"status": "A",
"authorized_official_last_name": "BILES",
"authorized_official_first_name": "TOM",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "813-935-3839",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.