Active NPI
Community Christian Counseling Clinic
- Community/Behavioral Health Agency
- Branson, MO
National Provider Identifier
1386921112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 2011036053
- Legal business name
- COMMUNITY CHRISTIAN COUNSELING CLINIC
- Practice address
- 301 W Pacific St Ste D-E
Branson, MO 65616-4054 - Phone
- (417) 425-0983
- NPI assigned
- Nov 8, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Linda Coker
- Title
- Clinic Directer
- Phone
- (417) 244-4065
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 2011036053 | MO | Primary |
Addresses
Primary practice location
301 W Pacific St Ste D-E
Branson, MO 65616-4054
Mailing address
205 Blossom Vly
Branson, MO 65616-7251
Phone (417) 425-0983
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1320710400000",
"number": "1386921112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 BLOSSOM VLY",
"city": "BRANSON",
"state": "MO",
"postal_code": "656167251",
"telephone_number": "417-425-0983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 W PACIFIC ST STE D-E",
"city": "BRANSON",
"state": "MO",
"postal_code": "656164054",
"telephone_number": "417-425-0983"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY CHRISTIAN COUNSELING CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2011-11-08",
"last_updated": "2011-11-08",
"status": "A",
"authorized_official_last_name": "COKER",
"authorized_official_first_name": "LINDA",
"authorized_official_title_or_position": "CLINIC DIRECTER",
"authorized_official_telephone_number": "417-244-4065"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "MO",
"license": "2011036053",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Branson, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.