Christopher Missimo, MA, NCC, LPC-I

Primary specialty

CounselorTaxonomy code 101Y00000X

License

76782 Issued in TX

Practice address

7135 Colleyville Blvd Ste 101
Colleyville, TX 76034-6455

Phone

(817) 416-7169

Fax

(817) 416-7175

NPI assigned

Sep 11, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Psychological Services of North Texas, PLLC

  • Clinical Psychologist
  • Colleyville, TX
  • NPI 1073909438
  NPD

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

{
    "created_epoch": "1536624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579132800000",
    "number": "1366925752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7135 COLLEYVILLE BLVD STE 101",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760346455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7135 COLLEYVILLE BLVD STE 101",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760346455",
            "telephone_number": "817-416-7169",
            "fax_number": "817-416-7175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISSIMO",
        "first_name": "CHRISTOPHER",
        "credential": "MA, NCC, LPC-I",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-11",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "76782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mid Cities Sleep LLP
• Brooklin Miller, FNP-C
• Louis C. Miller, DDS
• Jon L Mills, DC
• Haley Milner
• Kathleen Darnell Mitchell, RPH
• Cole Modlin, MA
• Rashad Mohamed Riazuddin, MD
• Denisa Mohr, LPC
• Arturo J Molina, LPC

• Counselor in Colleyville, TX
• Providers in Colleyville, TX by specialty
• Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; 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.