Organization Active NPI

Counseling Express

  • Clinical Social Worker
  • Texarkana, TX
National Provider Identifier
1457531063
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
50796 Issued in TX
Legal business name
COUNSELING EXPRESS
Practice address
1125 N Robison Rd
Texarkana, TX 75501-4103
Phone
(903) 832-2890
NPI assigned
Nov 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

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

Authorized official

Name
Mr. Phillip Ray Simmons
Title
Ceo/Owner
Phone
(903) 832-2890

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 50796 TX Primary

Addresses

Primary practice location

1125 N Robison Rd
Texarkana, TX 75501-4103

Mailing address

1125 N Robison Rd
Texarkana, TX 75501-4103
Phone (903) 832-2890

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1194825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1457531063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 N ROBISON RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755014103",
            "telephone_number": "903-832-2890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 N ROBISON RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755014103",
            "telephone_number": "903-832-2890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING EXPRESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-12",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "903-832-2890",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "50796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Texarkana, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; 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.