NPIMap

Organization Active NPI

In His Image Counseling Center, PLLC

  • Professional Counselor
  • Irving, TX
National Provider Identifier
1639633696
Registry record updated Jan 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
IN HIS IMAGE COUNSELING CENTER, PLLC
Practice address
4425 W. Airport Fwy
Suite 244
Irving, TX 75062
Phone
(214) 441-3797
Fax
(888) 975-2092
NPI assigned
Jan 24, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2019

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

Authorized official

Name
Dr. Suzanne Mary Baars, PHDNPI 1780817171
Title
Owner
Phone
(214) 441-3797

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X Primary
Marriage & Family TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 106H00000X

Addresses

Primary practice location

4425 W. Airport Fwy
Suite 244
Irving, TX 75062

Mailing address

4425 W. Airport Fwy
Suite 244
Irving, TX 75062
Phone (214) 441-3797

National Provider Directory

National Provider Directory

Locations

4425 W Airport Fwy
Ste 244
Irving, TX 75062
Phone (214) 441-3797

Practitioners & affiliated clinicians

Practitioners 7

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": "1548288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548288000000",
    "number": "1639633696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 W. AIRPORT FWY",
            "address_2": "SUITE 244",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "75062",
            "telephone_number": "214-441-3797",
            "fax_number": "888-975-2092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 W. AIRPORT FWY",
            "address_2": "SUITE 244",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "75062",
            "telephone_number": "214-441-3797",
            "fax_number": "888-975-2092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN HIS IMAGE COUNSELING CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-24",
        "last_updated": "2019-01-24",
        "status": "A",
        "authorized_official_last_name": "BAARS",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-441-3797",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; 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.