Active NPI
Behavioral Emotional Counseling Services
- Mental Health Counselor
- Kilgore, TX
National Provider Identifier
1245387778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- BEHAVIORAL EMOTIONAL COUNSELING SERVICES
- Practice address
- 1100 Stone Road
Suite 102
Kilgore, TX 75662 - Phone
- (903) 655-8569
- Fax
- (903) 655-6481
- NPI assigned
- Jan 5, 2007
- Last updated
- Feb 5, 2008
- 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
- Mrs. Nita Joyce Childers
- Title
- Office MGR
- Phone
- (903) 655-8569
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1100 Stone Road
Suite 102
Kilgore, TX 75662
Mailing address
1100 Stone Road
Suite 102
Kilgore, TX 75662
Phone (903) 655-8569
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 318128 | Other | TX | VALUE OPTIONS |
| 0097DZ | Other | TX | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1202169600000",
"number": "1245387778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 STONE ROAD",
"address_2": "SUITE 102",
"city": "KILGORE",
"state": "TX",
"postal_code": "75662",
"telephone_number": "903-655-8569",
"fax_number": "903-655-6481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 STONE ROAD",
"address_2": "SUITE 102",
"city": "KILGORE",
"state": "TX",
"postal_code": "75662",
"telephone_number": "903-655-8569",
"fax_number": "903-655-6481"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEHAVIORAL EMOTIONAL COUNSELING SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-05",
"last_updated": "2008-02-05",
"status": "A",
"authorized_official_last_name": "CHILDERS",
"authorized_official_first_name": "NITA",
"authorized_official_middle_name": "JOYCE",
"authorized_official_title_or_position": "OFFICE MGR",
"authorized_official_telephone_number": "903-655-8569",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "318128",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0097DZ",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kilgore, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.