C4A PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

26893 Issued in TX

Legal business name

C4A PLLC

Practice address

801 E Campbell Rd Ste 510
Richardson, TX 75081-6702

Phone

(972) 744-9990

Fax

(972) 744-9995

NPI assigned

Dec 15, 2015

Organization subpart

No

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

Authorized official

Name

Margret Louise Ward, LCSW

Title

Counselor

Phone

(972) 744-9990

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1450137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450137600000",
    "number": "1245695410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 E CAMPBELL RD STE 510",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750816702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E CAMPBELL RD STE 510",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750816702",
            "telephone_number": "972-744-9990",
            "fax_number": "972-744-9995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C4A PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-15",
        "last_updated": "2015-12-15",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "MARGRET",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "972-744-9990",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": "26893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE #1 NPI",
            "identifier": "1346356227",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2015; 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.