Active NPI
Charis Psychological Services & Christian Counseling, PLLC
Doing business as Charis Counseling
- Community/Behavioral Health Agency
- Glen Rose, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Melinda Gaye Lewis, PHD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 374452601 | Medicaid | TX |
Other names 1
- Charis Counseling
National Provider Directory
National Provider DirectoryLocations
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.
-
- Psychologist
- Glen Rose, TX
- NPI 1801125646
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.