Organization Active NPI

Choice Counseling, LLC

  • Professional Counselor
  • Johnson City, TN
National Provider Identifier
1265730105
Registry record updated May 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
CHOICE COUNSELING, LLC
Practice address
1416 S Roan St
Johnson City, TN 37601-7332
Phone
(423) 502-4158
NPI assigned
Mar 2, 2011
Last updated
May 13, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2011

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

Authorized official

Name
Mr. Douglas S. FoxNPI 1407096746
Title
LPC
Phone
(423) 502-4158

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

1416 S Roan St
Johnson City, TN 37601-7332

Mailing address

1416 S Roan St
Johnson City, TN 37601-7332
Phone (423) 502-4158

Other identifiers 1

IdentifierTypeStateIssuer
1265730105MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240321001285 TN Part B Supplier - Clinic/Group Practice 6103263538 Receives reassigned benefits from 1 practitioner
Practice locations: Johnson City, TN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1299024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305244800000",
    "number": "1265730105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 S ROAN ST",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376017332",
            "telephone_number": "423-502-4158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 S ROAN ST",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376017332",
            "telephone_number": "423-502-4158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-02",
        "last_updated": "2011-05-13",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "LPC",
        "authorized_official_telephone_number": "423-502-4158",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1265730105",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.