Organization Active NPI

Collaborative Counseling Services, LLC

  • Professional Counselor
  • Harker Heights, TX
National Provider Identifier
1679098156
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
COLLABORATIVE COUNSELING SERVICES, LLC
Practice address
880 Prospector TRL Ste 100
Harker Heights, TX 76548-2700
Phone
(254) 690-1512
NPI assigned
Aug 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2022

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

Authorized official

Name
Meredith RogersNPI 1275962128
Title
Owner
Phone
(210) 216-3078

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

880 Prospector TRL Ste 100
Harker Heights, TX 76548-2700

Mailing address

880 Prospector TRL Ste 100
Harker Heights, TX 76548-2700
Phone (254) 690-1512

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.ellisgroupcounseling.com

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1502064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672185600000",
    "number": "1679098156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 PROSPECTOR TRL STE 100",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765482700",
            "telephone_number": "254-690-1512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 PROSPECTOR TRL STE 100",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765482700",
            "telephone_number": "254-690-1512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLABORATIVE COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-07",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "MEREDITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-216-3078"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.ellisgroupcounseling.com",
            "affiliation": "N",
            "address_1": "880 Prospector Trl Ste 100",
            "city": "Harker Heights",
            "state": "TX",
            "country_code": "US",
            "postal_code": "765482700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Harker Heights, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; 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.