Organization Active NPI

Community Christian Counseling Clinic

  • Community/Behavioral Health Agency
  • Branson, MO
National Provider Identifier
1386921112
Registry record updated Nov 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
2011036053 Issued in MO
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

Updated by the provider on Nov 8, 2011

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.