Active NPI
Comprehensive Counseling Center LLC
- Community/Behavioral Health Agency
- Logansport, IN
National Provider Identifier
1609265495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 39002050A
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.