NPIMap

Organization Active NPI

Family and Child Guidance Center

Doing business as Child and Family Guidance Center

  • Mental Health Counselor
  • Corsicana, TX
National Provider Identifier
1245776897
Registry record updated Jan 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
FAMILY AND CHILD GUIDANCE CENTER
Doing business as
Child and Family Guidance Center
Practice address
317 North 12TH
Suite 1
Corsicana, TX 75110
Phone
(214) 351-3490
NPI assigned
Jan 6, 2017
Last updated
Jan 6, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2017

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

Authorized official

Name
Jeff Keehn
Title
Cfo
Phone
(214) 351-3490

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X TX Primary
Professional Counselor 101YP2500X TX
Social Worker 104100000X TX
Clinical Social Worker 1041C0700X TX

Addresses

Primary practice location

317 North 12TH
Suite 1
Corsicana, TX 75110

Mailing address

8915 Harry Hines Blvd
Dallas, TX 75235-1717
Phone (214) 351-3490

Other identifiers 1

IdentifierTypeStateIssuer
084682601MedicaidTX

Other names 1

  • Child and Family Guidance Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dallas Child Guidance C14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Locations

317 N 12TH
Ste 1
Corsicana, TX 75110

NPI Registry JSON

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

{
    "created_epoch": "1483660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483660800000",
    "number": "1245776897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8915 HARRY HINES BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752351717",
            "telephone_number": "214-351-3490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 NORTH 12TH",
            "address_2": "SUITE 1",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "75110",
            "telephone_number": "214-351-3490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY AND CHILD GUIDANCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-06",
        "last_updated": "2017-01-06",
        "status": "A",
        "authorized_official_last_name": "KEEHN",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "214-351-3490"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084682601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Child and Family Guidance Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corsicana, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2017; 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.