Organization Active NPI

Stable Life Counseling Center, LLC

  • Mental Health Counselor
  • Victoria, TX
National Provider Identifier
1609952274
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
STABLE LIFE COUNSELING CENTER, LLC
Practice address
3806 N Main St
Victoria, TX 77901-2638
Phone
(361) 485-0899
Fax
(361) 485-0817
NPI assigned
Oct 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Shirley B Johnson, LBSW, LPCNPI 1023194685
Title
Owner
Phone
(361) 485-0899

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

3806 N Main St
Victoria, TX 77901-2638

Mailing address

3806 N Main St
Victoria, TX 77901-2638
Phone (361) 485-0899

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609952274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3806 N MAIN ST",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779012638",
            "telephone_number": "361-485-0899",
            "fax_number": "361-485-0817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3806 N MAIN ST",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779012638",
            "telephone_number": "361-485-0899",
            "fax_number": "361-485-0817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STABLE LIFE COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-485-0899",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LBSW, LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victoria, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.