Organization Active NPI

Nobles Counseling Group, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bryan, TX
National Provider Identifier
1487218251
Registry record updated Apr 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
NOBLES COUNSELING GROUP, LLC
Practice address
1713 Broadmoor Dr Ste 301
Bryan, TX 77802-5220
Phone
(936) 463-8120
Fax
(979) 383-2199
NPI assigned
Apr 27, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2019

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

Authorized official

Name
Dr. Justin Scott Nobles, LPC, LCDC
Title
President
Phone
(936) 463-8120

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Adult Mental Health Clinic/Center 261QM0850X
Children's Substance Abuse Rehabilitation Facility 3245S0500X

Addresses

Primary practice location

1713 Broadmoor Dr Ste 301
Bryan, TX 77802-5220

Mailing address

1713 Broadmoor Dr Ste 301
Bryan, TX 77802-5220
Phone (936) 463-8120

National Provider Directory

National Provider Directory

Locations

1713 Broadmoor Dr
Ste 301
Bryan, TX 77802
Phone (936) 463-8120

NPI Registry JSON

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

{
    "created_epoch": "1556323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556323200000",
    "number": "1487218251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1713 BROADMOOR DR STE 301",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778025220",
            "telephone_number": "936-463-8120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1713 BROADMOOR DR STE 301",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778025220",
            "telephone_number": "936-463-8120",
            "fax_number": "979-383-2199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOBLES COUNSELING GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-27",
        "last_updated": "2019-04-27",
        "status": "A",
        "authorized_official_last_name": "NOBLES",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "936-463-8120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LPC, LCDC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryan, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2019; 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.