Organization Active NPI

Counseling Services of Pittsburg

  • Professional Counselor
  • Pittsburg, TX
National Provider Identifier
1689758377
Registry record updated Jul 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
12451 Issued in TX
Legal business name
COUNSELING SERVICES OF PITTSBURG
Practice address
200 W Marshall St
Pittsburg, TX 75686-1348
Phone
(903) 856-6001
Fax
(903) 856-0465
NPI assigned
Oct 25, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Carmen Conley, MED, LPC
Title
License Professional Counselor
Phone
(903) 856-6001

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Locations

200 W Marshall St
Pittsburg, TX 75686
Phone (903) 853-5053

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 12451 TX Primary

Addresses

NPPES NPI Registry

Primary practice location

200 W Marshall St
Pittsburg, TX 75686-1348

Mailing address

PO Box 351
Leesburg, TX 75451-0351
Phone (903) 856-6001

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
1467300-01MedicaidTX

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 25, 2008.

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216944000000",
    "number": "1689758377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 351",
            "city": "LEESBURG",
            "state": "TX",
            "postal_code": "754510351",
            "telephone_number": "903-856-6001",
            "fax_number": "903-856-0465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W MARSHALL ST",
            "city": "PITTSBURG",
            "state": "TX",
            "postal_code": "756861348",
            "telephone_number": "903-856-6001",
            "fax_number": "903-856-0465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING SERVICES OF PITTSBURG",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2008-07-25",
        "status": "A",
        "authorized_official_last_name": "CONLEY",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "LICENSE PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "903-856-6001",
        "authorized_official_credential": "MED, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "12451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1467300-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2008; 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.