Organization Active NPI

East Texas Center for Independent Living

  • Mental Health Counselor
  • Tyler, TX
National Provider Identifier
1285807958
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
EAST TEXAS CENTER FOR INDEPENDENT LIVING
Practice address
719 W Front St Ste 100
Tyler, TX 75702-7961
Phone
(903) 581-7542
Fax
(903) 581-8289
NPI assigned
Apr 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Authorized official

Name
Joanna Richardson, LPC, ASDCSNPI 1093605289
Title
Clinical Director
Phone
(903) 581-7542

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

719 W Front St Ste 100
Tyler, TX 75702-7961

Mailing address

719 W Front St Ste 100
Tyler, TX 75702-7961
Phone (903) 581-7542

National Provider Directory

National Provider Directory

Locations

719 W Front St
Ste 100
Tyler, TX 75702
Phone (903) 581-7542

4713 Troup Hwy
Tyler, TX 75703
Phone (903) 581-7542

Practitioners & affiliated clinicians

Practitioners 3

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": "1207094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762214400000",
    "number": "1285807958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 W FRONT ST STE 100",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757027961",
            "telephone_number": "903-581-7542",
            "fax_number": "903-581-8289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 W FRONT ST STE 100",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757027961",
            "telephone_number": "903-581-7542",
            "fax_number": "903-581-8289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST TEXAS CENTER FOR INDEPENDENT LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-02",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "903-581-7542",
        "authorized_official_credential": "LPC, ASDCS"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; 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.