Central Counties Center for Mental Health & Mental Retardation SRVS

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

CENTRAL COUNTIES CENTER FOR MENTAL HEALTH & MENTAL RETARDATION SRVS

Doing business as

Center Counties Services

Practice address

302 S 22ND St
Temple, TX 76501-4726

Phone

(254) 298-7019

Fax

(254) 298-7111

NPI assigned

Apr 1, 2021

Organization subpart

No

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

Authorized official

Name

Elizabeth Kay Churchill

Title

Reimbursement Officer 4

Phone

(254) 298-7019

Specialties & licenses 1

Addresses

Other names 1

• Center Counties Services Doing business as

Tax ID family

Center Counties Services4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Central Counties Center for Mental Health & Mental Retardation SRVS

  • Mental Health Counselor
  • Temple, TX
  • NPI 1356310585
  NPD tax ID
• Central Counties Center for MHMR

  • Case Management Agency
  • Temple, TX
  • NPI 1902812373
  NPD tax ID
• Central Counties Center for MHMR Services

  dba Childteam Eci

  • Early Intervention Provider Agency
  • Temple, TX
  • NPI 1427278316
  NPD tax ID

Locations

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

{
    "created_epoch": "1617235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617235200000",
    "number": "1528646247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 S 22ND ST",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765014726",
            "telephone_number": "254-298-7019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 S 22ND ST",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765014726",
            "telephone_number": "254-298-7019",
            "fax_number": "254-298-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL COUNTIES CENTER FOR MENTAL HEALTH & MENTAL RETARDATION SRVS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-01",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A",
        "authorized_official_last_name": "CHURCHILL",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "REIMBURSEMENT OFFICER 4",
        "authorized_official_telephone_number": "254-298-7019"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center Counties Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cental Texas Veterans Health Care System
• Centex Smile Doc PC (Central Texas Smile Doctors)
• Central Behavioral Clinic LLC (Central Behavioral Clinic)
• Central Counties Center for Mental Health & Mental Retardation SRVS (Center Counties Services)
• Central Counties Center for Mental Health & Mental Retardation SRVS
• Central Counties Center for MHMR
• Central Counties Center for MHMR Services (Childteam Eci)
• Central Texas Council on Alcoholism and Drug Abuse
• Central Texas Homecare, LLC (Interim Healthcare of Temple)
• Central Texas Pain Center, PLLC

• Substance Use Disorder Rehabilitation Clinic/Center in Temple, TX
• Providers in Temple, TX by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; 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.