Active NPI
Child and Family Guidance Center of Texoma
- Mental Health Counselor
- Sherman, TX
National Provider Identifier
1659336345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 14846
- Legal business name
- CHILD AND FAMILY GUIDANCE CENTER OF TEXOMA
- Practice address
- 804 Pecan Grove Rd E
Sherman, TX 75090-1767 - Phone
- (903) 893-7768
- Fax
- (903) 893-4979
- NPI assigned
- Apr 18, 2006
- Last updated
- Jul 22, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brenda Hayward, M.B.A.
- Title
- Executive Director
- Phone
- (903) 893-7768
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 14846 | TX | Primary |
| Mental Health Counselor | 101YM0800X | 17819 | TX | |
| Mental Health Counselor | 101YM0800X | 18459 | TX | |
| Mental Health Counselor | 101YM0800X | 901 | TX | |
| Mental Health Counselor | 101YM0800X | 16486 | TX | |
| Mental Health Counselor | 101YM0800X | 17384 | TX | |
| Mental Health Counselor | 101YM0800X | 18185 | TX | |
| Clinical Social Worker | 1041C0700X | 27693 | TX | |
| Clinical Social Worker | 1041C0700X | 11588 | TX |
Addresses
Primary practice location
804 Pecan Grove Rd E
Sherman, TX 75090-1767
Mailing address
804 Pecan Grove Rd E
Sherman, TX 75090-1767
Phone (903) 893-7768
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 82844L | Other | TX | INDIVIDUAL BCBS NUMBER |
| 83590L | Other | TX | INDIVIDUAL BCBS NUMBER |
| 084154602 | Medicaid | TX | |
| 5390719 | Other | TX | INDIVIDUAL AETNA NUMBER |
| 00N35N | Other | TX | BCBS GROUP NUMBER |
| 83343L | Other | TX | INDIVIDUAL BCBS NUMBER |
| 87190Q | Other | TX | INDIVIDUAL BCBS NUMBER |
| 84347L | Other | TX | INDIVIDUAL BCBS NUMBER |
| 084154601 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
804 Pecan Grove Rd E
Sherman, TX 75090
Phone (903) 893-7768
Practitioners & affiliated clinicians
Practitioners 42
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.
-
- Professional Counselor
- Sherman, TX
- NPI 1952146805
-
- Professional Counselor
- Sherman, TX
- NPI 1073831384
-
- Marriage & Family Therapist
- Sherman, TX
- NPI 1881821411
-
- Professional Counselor
- Sherman, TX
- NPI 1295566354
-
- Professional Counselor
- Sherman, TX
- NPI 1790174985
-
- Mental Health Counselor
- Sherman, TX
- NPI 1861892838
-
- Professional Counselor
- Sherman, TX
- NPI 1386425411
-
- Professional Counselor
- Denison, TX
- NPI 1225664188
-
- Professional Counselor
- Sherman, TX
- NPI 1700656626
-
- Professional Counselor
- Anna, TX
- NPI 1891668471
-
- Clinical Psychologist
- Sherman, TX
- NPI 1912175860
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216684800000",
"number": "1659336345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "804 PECAN GROVE RD E",
"city": "SHERMAN",
"state": "TX",
"postal_code": "750901767",
"telephone_number": "903-893-7768",
"fax_number": "903-893-4979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "804 PECAN GROVE RD E",
"city": "SHERMAN",
"state": "TX",
"postal_code": "750901767",
"telephone_number": "903-893-7768",
"fax_number": "903-893-4979"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHILD AND FAMILY GUIDANCE CENTER OF TEXOMA",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-18",
"last_updated": "2008-07-22",
"status": "A",
"authorized_official_last_name": "HAYWARD",
"authorized_official_first_name": "BRENDA",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "903-893-7768",
"authorized_official_credential": "M.B.A."
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "14846",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "17819",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "18459",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "901",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "16486",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "17384",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "18185",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "27693",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "11588",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL BCBS NUMBER",
"identifier": "82844L",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL BCBS NUMBER",
"identifier": "83590L",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "084154602",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL AETNA NUMBER",
"identifier": "5390719",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP NUMBER",
"identifier": "00N35N",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL BCBS NUMBER",
"identifier": "83343L",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL BCBS NUMBER",
"identifier": "87190Q",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL BCBS NUMBER",
"identifier": "84347L",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "084154601",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sherman, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; 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.