NPIMap

Organization Active NPI

Cordova Counseling Services PLLC

  • Professional Counselor
  • Nacogdoches, TX
National Provider Identifier
1427742196
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
CORDOVA COUNSELING SERVICES PLLC
Practice address
115 N University Dr Ste a
Nacogdoches, TX 75961-5126
Phone
(936) 371-1172
Fax
(866) 598-3817
NPI assigned
Jun 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Authorized official

Name
Mrs. Amanda Paige Cordova, LPC-SNPI 1407246770
Title
Licensed Professional Counselor
Phone
(936) 371-1172

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

115 N University Dr Ste a
Nacogdoches, TX 75961-5126

Mailing address

872 FM 2664
Nacogdoches, TX 75965-1281
Phone (936) 679-3101

National Provider Directory

National Provider Directory

Locations

1329 N University Dr
Ste F5
Nacogdoches, TX 75961
Phone (936) 679-3101

115 N University Dr
Ste A
Nacogdoches, TX 75961
Phone (936) 371-1172

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690416000000",
    "number": "1427742196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "872 FM 2664",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651281",
            "telephone_number": "936-679-3101",
            "fax_number": "866-598-3817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 N UNIVERSITY DR STE A",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759615126",
            "telephone_number": "936-371-1172",
            "fax_number": "866-598-3817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORDOVA COUNSELING SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-06",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A",
        "authorized_official_last_name": "CORDOVA",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "PAIGE",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL  COUNSELOR",
        "authorized_official_telephone_number": "936-371-1172",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC-S"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nacogdoches, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; 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.