NPIMap

Organization Active NPI

Counseling and Diagnostic Center, LLC

  • Counselor
  • Addison, TX
National Provider Identifier
1356754527
Registry record updated Jun 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
64837 Issued in TX
Legal business name
COUNSELING AND DIAGNOSTIC CENTER, LLC
Practice address
16415 Addison Rd
Suite 640
Addison, TX 75001-3218
Phone
(214) 760-1964
Fax
(214) 760-9505
NPI assigned
Jun 5, 2014
Last updated
Jun 5, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2014

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

Authorized official

Name
Dr. Susan Talmage, PHDNPI 1801920715
Title
Executive Director
Phone
(214) 760-1964

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 64837 TX Primary
School Psychologist 103TS0200X 34150 TX

Addresses

Primary practice location

16415 Addison Rd
Suite 640
Addison, TX 75001-3218

Mailing address

16415 Addison Rd
Suite 640
Addison, TX 75001-3218
Phone (214) 760-1964

National Provider Directory

National Provider Directory
Tax ID family
Counseling and Diagnostic Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

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": "1401926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401926400000",
    "number": "1356754527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16415 ADDISON RD",
            "address_2": "SUITE 640",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750013218",
            "telephone_number": "214-760-1964",
            "fax_number": "214-760-9505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16415 ADDISON RD",
            "address_2": "SUITE 640",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750013218",
            "telephone_number": "214-760-1964",
            "fax_number": "214-760-9505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING AND DIAGNOSTIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-05",
        "last_updated": "2014-06-05",
        "status": "A",
        "authorized_official_last_name": "TALMAGE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "214-760-1964",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "64837",
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "TX",
            "license": "34150",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Addison, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; 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.