Central Texas Behavioral Health, LLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

CENTRAL TEXAS BEHAVIORAL HEALTH, LLC

Practice address

702 S Washington Ave
Bryan, TX 77803-3985

Phone

(979) 779-2864

Fax

(979) 779-8522

NPI assigned

Mar 26, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. James L. Woods, MA, LPC-S, LSOTP

Title

Executive Director

Phone

(979) 779-2864

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Janice M. Childress, M.ED., LPC, LBSW

  • Case Manager/Care Coordinator
  • Bryan, TX
  • NPI 1366561896
  NPD (past)
• Dorthy B Kotmann, M.ED., LPC

  • Mental Health Counselor
  • Bryan, TX
  • NPI 1649398868
  NPD (past)

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437276078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 S WASHINGTON AVE",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778033985",
            "telephone_number": "979-779-2864",
            "fax_number": "979-779-8522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 S WASHINGTON AVE",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778033985",
            "telephone_number": "979-779-2864",
            "fax_number": "979-779-8522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL TEXAS BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "979-779-2864",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA, LPC-S, LSOTP"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Addiction (Substance Use Disorder) Counselor in Bryan, TX
• Providers in Bryan, TX by specialty
• Addiction (Substance Use Disorder) Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.