JS Unlimited Inc

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

14921 Issued in TX

Legal business name

JS UNLIMITED INC

Practice address

307 S Main St
Suite 205
Bryan, TX 77803-6948

Phone

(979) 779-2864

Fax

(979) 779-8522

NPI assigned

Apr 3, 2007

Organization subpart

No

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

Authorized official

Name

Janice Childress, LBSW,LPC

Title

President

Phone

(979) 575-7949

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322438400000",
    "number": "1497877401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 S MAIN ST",
            "address_2": "SUITE 205",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778036948",
            "telephone_number": "979-575-7949",
            "fax_number": "979-779-8522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 S MAIN ST",
            "address_2": "SUITE 205",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778036948",
            "telephone_number": "979-779-2864",
            "fax_number": "979-779-8522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JS UNLIMITED INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2011-11-28",
        "status": "A",
        "authorized_official_last_name": "CHILDRESS",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "979-575-7949",
        "authorized_official_credential": "LBSW,LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "14921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Bryan, TX
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.