NPIMap

Organization Active NPI

Tapestry Counseling of East Texas

  • Professional Counselor
  • Tyler, TX
National Provider Identifier
1659887115
Registry record updated Dec 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
TAPESTRY COUNSELING OF EAST TEXAS
Practice address
17121 Highway 69 S
Tyler, TX 75703-8091
Phone
(903) 316-5711
NPI assigned
Dec 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2017

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

Authorized official

Name
Mr. Howard Brent Kirkley, LPC
Title
Director
Phone
(903) 361-5711

Specialties & licenses 2

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

Addresses

Primary practice location

17121 Highway 69 S
Tyler, TX 75703-8091

Mailing address

17121 Highway 69 S
Tyler, TX 75703-8091
Phone (903) 316-5711

National Provider Directory

National Provider Directory

Locations

17121 US Highway 69 S
Tyler, TX 75703
Phone (903) 316-5711

Practitioners & affiliated clinicians

Practitioners 6

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": "1513728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513728000000",
    "number": "1659887115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17121 HIGHWAY 69 S",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757038091",
            "telephone_number": "903-316-5711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17121 HIGHWAY 69 S",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757038091",
            "telephone_number": "903-316-5711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAPESTRY COUNSELING OF EAST TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-20",
        "last_updated": "2017-12-20",
        "status": "A",
        "authorized_official_last_name": "KIRKLEY",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "BRENT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "903-361-5711",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2017; 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.