NPIMap

Organization Active NPI

Professional Counseling Associates PLLC

Doing business as Professional Counseling Associates

  • Mental Health Counselor
  • Killeen, TX
National Provider Identifier
1649714643
Registry record updated Apr 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PROFESSIONAL COUNSELING ASSOCIATES PLLC
Doing business as
Professional Counseling Associates
Practice address
1711 E Central Texas Expy Ste 101
Killeen, TX 76541-9145
Phone
(254) 501-3745
Fax
(254) 501-3608
NPI assigned
Dec 9, 2016
Last updated
Apr 12, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2017

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

Authorized official

Name
Amy-Jo Catherine Neujahr
Title
Owner
Phone
(254) 501-3745

Specialties & licenses 1

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

Addresses

Primary practice location

1711 E Central Texas Expy Ste 101
Killeen, TX 76541-9145

Mailing address

2503 Schulze Dr
Killeen, TX 76549-8565
Phone (254) 501-3745

Other names 1

  • PROFESSIONAL COUNSELING ASSOCIATES Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170619000964 TX Part B Supplier - Clinic/Group Practice 0042588956 Receives reassigned benefits from 3 practitioners
Practice locations: Killeen, TX

National Provider Directory

National Provider Directory

Locations

1711 E Central Texas Expy
Ste 100A
Killeen, TX 76541
Phone (254) 501-3745

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1481241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491955200000",
    "number": "1649714643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2503 SCHULZE DR",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765498565",
            "telephone_number": "254-501-3745",
            "fax_number": "254-501-3608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 E CENTRAL TEXAS EXPY STE 101",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765419145",
            "telephone_number": "254-501-3745",
            "fax_number": "254-501-3608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL COUNSELING ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-09",
        "last_updated": "2017-04-12",
        "status": "A",
        "authorized_official_last_name": "NEUJAHR",
        "authorized_official_first_name": "AMY-JO",
        "authorized_official_middle_name": "CATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "254-501-3745"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PROFESSIONAL COUNSELING ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Killeen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.