Collaborative Care Counseling

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

70922 Issued in TX

Legal business name

COLLABORATIVE CARE COUNSELING

Practice address

4425 W Airport Fwy Ste 366
Irving, TX 75062-5831

Phone

(972) 652-0255

NPI assigned

Sep 13, 2016

Organization subpart

No

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

Authorized official

Name

Miss Bransha Gardner, LPC

Title

Owner

Phone

(972) 652-0255

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1473724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473724800000",
    "number": "1366990962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 W AIRPORT FWY STE 366",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750625831",
            "telephone_number": "972-652-0255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 W AIRPORT FWY STE 366",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750625831",
            "telephone_number": "972-652-0255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLABORATIVE CARE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-13",
        "last_updated": "2016-09-13",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "BRANSHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-652-0255",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": "70922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cognitive Neuroscience Services (Richard S Cowles PsyD)
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• Alicia A Coleman, M.S., PH.D.
• Colette M Dominique MD PA
• Collaborative Solutions Counseling, PLLC
• David Henry Colley, LCSW
• Collin P Burns PLLC
• Janice Collins-McNeil, FNP
• Taura Collins-Smith, FNP

• Community/Behavioral Health Agency in Irving, TX
• Providers in Irving, TX by specialty
• Community/Behavioral Health Agency in Texas

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