Individual provider Active NPI

Christina Loeffler, MA, LPC

  • Mental Health Counselor
  • Tyler, TX
National Provider Identifier
1609490713
Registry record updated Jun 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
76294 Issued in TX
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

Updated by the provider on Jun 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
76294TXMDMental 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

Verify at the official NPI Registry.