Organization Active NPI

Christian Counseling Center

  • Counselor
  • Tampa, FL
National Provider Identifier
1194891275
Registry record updated Apr 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
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, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2009

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.