Active NPI
Christina Loeffler, MA, LPC
- Mental Health Counselor
- Tyler, TX
National Provider Identifier
1609490713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 76294
- Practice address
- 2003 Rickety LN Ste E
Tyler, TX 75703-1704 - Phone
- (903) 866-6800
- NPI assigned
- Jun 4, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 76294 | TX | Primary |
Addresses
Primary practice location
2003 Rickety LN Ste E
Tyler, TX 75703-1704
Mailing address
5782 Reagan St
Tyler, TX 75707-2098
Other practice location 1
108 Wain Dr
Longview, TX 75604-1231
Phone (903) 866-6800
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@cmlcounseling.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 18, 2024 through Jun 18, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 76294 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591228800000",
"number": "1609490713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5782 REAGAN ST",
"city": "TYLER",
"state": "TX",
"postal_code": "757072098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2003 RICKETY LN STE E",
"city": "TYLER",
"state": "TX",
"postal_code": "757031704",
"telephone_number": "903-866-6800"
}
],
"practiceLocations": [
{
"address_1": "108 Wain Dr",
"address_purpose": "LOCATION",
"city": "Longview",
"state": "TX",
"postal_code": "756041231",
"country_code": "US",
"telephone_number": "903-866-6800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOEFFLER",
"first_name": "CHRISTINA",
"credential": "MA, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-04",
"last_updated": "2020-06-04",
"certification_date": "2020-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "76294",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@cmlcounseling.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2003 Rickety Ln Ste E",
"city": "Tyler",
"state": "TX",
"country_code": "US",
"postal_code": "757031704",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.