Organization Active NPI

Comprehensive Counseling Center LLC

  • Community/Behavioral Health Agency
  • Logansport, IN
National Provider Identifier
1609265495
Registry record updated Jan 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
39002050A Issued in IN
Legal business name
COMPREHENSIVE COUNSELING CENTER LLC
Practice address
601 E Market St
Logansport, IN 46947-3180
Phone
(574) 735-3009
NPI assigned
Jan 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2015

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

Authorized official

Name
Jeanne Wandrei, MA, LMHC LCAC
Title
Counselor/Owner
Phone
(574) 735-3009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 39002050A IN Primary

Addresses

Primary practice location

601 E Market St
Logansport, IN 46947-3180

Mailing address

601 E Market St
Logansport, IN 46947-3180
Phone (574) 735-3009

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1421280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421280000000",
    "number": "1609265495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E MARKET ST",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "469473180",
            "telephone_number": "574-735-3009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E MARKET ST",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "469473180",
            "telephone_number": "574-735-3009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-15",
        "last_updated": "2015-01-15",
        "status": "A",
        "authorized_official_last_name": "WANDREI",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_title_or_position": "COUNSELOR/OWNER",
        "authorized_official_telephone_number": "574-735-3009",
        "authorized_official_credential": "MA, LMHC LCAC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IN",
            "license": "39002050A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Logansport, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2015; 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.