NPIMap

Organization Active NPI

Counseling Center of Ellis County

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Waxahachie, TX
National Provider Identifier
1508998972
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
2248-D Issued in TX
Legal business name
COUNSELING CENTER OF ELLIS COUNTY
Practice address
6350 N Interstate Highway 35 E
Waxahachie, TX 75165-5603
Phone
(972) 617-6222
Fax
(972) 617-0655
NPI assigned
Mar 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ben Boaz, LPC
Title
Chief Financial Officer
Phone
(972) 617-6222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 2248-D TX Primary

Addresses

Primary practice location

6350 N Interstate Highway 35 E
Waxahachie, TX 75165-5603

Mailing address

6350 N Interstate Highway 35 E
Waxahachie, TX 75165-5603
Phone (972) 617-6222

Other identifiers 1

IdentifierTypeStateIssuer
2248-DOtherTXCHEMICAL DEP FACILITY

National Provider Directory

National Provider Directory

Locations

6350 N Interstate Highway 35 E
Waxahachie, TX 75165
Phone (866) 416-9118

Practitioners & affiliated clinicians

Practitioners 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508998972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6350 N INTERSTATE HIGHWAY 35 E",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751655603",
            "telephone_number": "972-617-6222",
            "fax_number": "972-617-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6350 N INTERSTATE HIGHWAY 35 E",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751655603",
            "telephone_number": "972-617-6222",
            "fax_number": "972-617-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING CENTER OF ELLIS COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOAZ",
        "authorized_official_first_name": "BEN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "972-617-6222",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "TX",
            "license": "2248-D",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHEMICAL DEP FACILITY",
            "identifier": "2248-D",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waxahachie, TX

Sources for this page

  • 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.