Organization Active NPI

Endeavor Counseling Center PLLC

  • Professional Counselor
  • Nacogdoches, TX
National Provider Identifier
1356040935
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
ENDEAVOR COUNSELING CENTER PLLC
Practice address
4635 NE Stallings Dr Ste 104
Nacogdoches, TX 75965-1667
Phone
(936) 209-4090
NPI assigned
Mar 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Authorized official

Name
Michelle MixonNPI 1285215566
Title
Owner
Phone
(936) 209-4090

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 CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

4635 NE Stallings Dr Ste 104
Nacogdoches, TX 75965-1667

Mailing address

4635 NE Stallings Dr Ste 104
Nacogdoches, TX 75965-1667

National Provider Directory

National Provider Directory

Locations

118 E Hospital St
Ste 205
Nacogdoches, TX 75961

113 S Lanana St
Nacogdoches, TX 75961
Phone (936) 209-4090

4635 NE Stallings Dr
Ste 104
Nacogdoches, TX 75965
Phone (936) 305-3990

Practitioners & affiliated clinicians

Practitioners 1

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": "1677715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783900800000",
    "number": "1356040935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4635 NE STALLINGS DR STE 104",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4635 NE STALLINGS DR STE 104",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651667",
            "telephone_number": "936-209-4090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDEAVOR COUNSELING CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-02",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A",
        "authorized_official_last_name": "MIXON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-209-4090"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nacogdoches, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.