Organization Active NPI

Jireh Counseling Center PLLC

  • Professional Counselor
  • Texas City, TX
National Provider Identifier
1205604725
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
JIREH COUNSELING CENTER PLLC
Practice address
2000 25TH Ave N Ste 103
Texas City, TX 77590-5280
Phone
(346) 874-7105
Fax
(409) 440-8520
NPI assigned
Dec 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Verdale Goins, PHD, LPC
Title
Owner/Therapist
Phone
(720) 351-8424

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary
Adult Mental Health Clinic/Center 261QM0850X

Addresses

Primary practice location

2000 25TH Ave N Ste 103
Texas City, TX 77590-5280

Mailing address

2000 25TH Ave N Ste 103
Texas City, TX 77590-5280
Phone (346) 874-7105

Other names 1

  • Jireh Christian Center Former legal business name

National Provider Directory

National Provider Directory

Locations

2000 25th Ave N
Ste 103
Texas City, TX 77590
Phone (346) 874-7105

NPI Registry JSON

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

{
    "created_epoch": "1702512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702512000000",
    "number": "1205604725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 25TH AVE N STE 103",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775905280",
            "telephone_number": "346-874-7105",
            "fax_number": "409-440-8520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 25TH AVE N STE 103",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775905280",
            "telephone_number": "346-874-7105",
            "fax_number": "409-440-8520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIREH COUNSELING CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-14",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-13",
        "status": "A",
        "authorized_official_last_name": "GOINS",
        "authorized_official_first_name": "VERDALE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "720-351-8424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jireh Christian Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Texas City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; 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.