Organization Active NPI

Charis Psychological Services & Christian Counseling, PLLC

Doing business as Charis Counseling

  • Community/Behavioral Health Agency
  • Glen Rose, TX
National Provider Identifier
1235620691
Registry record updated May 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CHARIS PSYCHOLOGICAL SERVICES & CHRISTIAN COUNSELING, PLLC
Doing business as
Charis Counseling
Practice address
1100 FM 56
Glen Rose, TX 76043
Phone
(682) 302-4597
NPI assigned
May 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2019

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

Authorized official

Name
Dr. Melinda Gaye Lewis, PHDNPI 1801125646
Title
Owner
Phone
(682) 302-4597

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1100 FM 56
Glen Rose, TX 76043

Mailing address

1030 Hwy 377 E
Suite 110169
Granbury, TX 76048
Phone (682) 302-4597

Other practice location 1

1200 Weatherford Hwy
Granbury, TX 76048-4822
Phone (682) 302-4597

Other practice location 2

1525 E 2nd St Apt 513
Granbury, TX 76048-2643
Phone (682) 302-4597

Other identifiers 1

IdentifierTypeStateIssuer
374452601MedicaidTX

Other names 1

  • Charis Counseling Doing business as

National Provider Directory

National Provider Directory

Locations

1030 E Highway 377
Ste 110169
Granbury, TX 76048

1200 Weatherford Hwy
Granbury, TX 76048
Phone (682) 302-4597

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": "1526947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557187200000",
    "number": "1235620691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 HWY 377 E",
            "address_2": "SUITE 110169",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "76048",
            "telephone_number": "682-302-4597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 FM 56",
            "city": "GLEN ROSE",
            "state": "TX",
            "postal_code": "76043",
            "telephone_number": "682-302-4597"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Weatherford Hwy",
            "address_purpose": "LOCATION",
            "city": "Granbury",
            "state": "TX",
            "postal_code": "760484822",
            "country_code": "US",
            "telephone_number": "682-302-4597",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1525 E 2nd St Apt 513",
            "address_purpose": "LOCATION",
            "city": "Granbury",
            "state": "TX",
            "postal_code": "760482643",
            "country_code": "US",
            "telephone_number": "682-302-4597",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHARIS PSYCHOLOGICAL SERVICES & CHRISTIAN COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-22",
        "last_updated": "2019-05-07",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_middle_name": "GAYE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "682-302-4597",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "374452601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charis Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glen Rose, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2019; 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.