NPIMap

Organization Active NPI

Christopher Ministries, Inc.

  • Mental Health Counselor
  • Mount Juliet, TN
National Provider Identifier
1346538436
Registry record updated Jan 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH9523 Issued in FL
Legal business name
CHRISTOPHER MINISTRIES, INC.
Practice address
313B W Division St
Mount Juliet, TN 37122-3207
Phone
(615) 636-7414
Fax
(866) 799-4512
NPI assigned
Jul 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2016

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

Authorized official

Name
Dr. Tracia H Jungkurth, PHD,LPC,LMHC,SAPNPI 1558404178
Title
President
Phone
(615) 636-7414

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: 193200000X MULTI-SPECIALTY GROUP 101YM0800X MH9523 FL Primary

Addresses

Primary practice location

313B W Division St
Mount Juliet, TN 37122-3207

Mailing address

PO Box 555
Mount Juliet, TN 37121-0555
Phone (615) 636-7414

National Provider Directory

National Provider Directory

Locations

313B W Division St
Mt Juliet, TN 37122
Phone (615) 636-7414

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": "1310342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452038400000",
    "number": "1346538436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 555",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371210555",
            "telephone_number": "615-636-7414",
            "fax_number": "866-799-4512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313B W DIVISION ST",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371223207",
            "telephone_number": "615-636-7414",
            "fax_number": "866-799-4512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER MINISTRIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-11",
        "last_updated": "2016-01-06",
        "status": "A",
        "authorized_official_last_name": "JUNGKURTH",
        "authorized_official_first_name": "TRACIA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-636-7414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD,LPC,LMHC,SAP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH9523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Juliet, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; 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.