NPIMap

Organization Active NPI

Star Council

  • Community/Behavioral Health Agency
  • Cleburne, TX
National Provider Identifier
1275807216
Registry record updated Mar 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
68618 Issued in TX
Legal business name
STAR COUNCIL
Practice address
118 W Heard St
Cleburne, TX 76033-3836
Phone
(817) 645-5517
Fax
(817) 645-5715
NPI assigned
Mar 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2012

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

Authorized official

Name
Kelly Kristine McCoy, M.S., LPC-INTERN
Title
Counselor
Phone
(817) 501-7098

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 68618 TX Primary

Addresses

Primary practice location

118 W Heard St
Cleburne, TX 76033-3836

Mailing address

118 W Heard St
Cleburne, TX 76033-3836
Phone (817) 645-5517

National Provider Directory

National Provider Directory

Locations

118 W Heard St
Cleburne, TX 76033
Phone (817) 645-5517

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1331078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331078400000",
    "number": "1275807216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 W HEARD ST",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760333836",
            "telephone_number": "817-645-5517",
            "fax_number": "817-645-5715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 W HEARD ST",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760333836",
            "telephone_number": "817-645-5517",
            "fax_number": "817-645-5715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR COUNCIL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-07",
        "last_updated": "2012-03-07",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "KRISTINE",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "817-501-7098",
        "authorized_official_credential": "M.S., LPC-INTERN"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": "68618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleburne, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2012; 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.