Active NPI
Counseling Services of Pittsburg
- Professional Counselor
- Pittsburg, TX
National Provider Identifier
1689758377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 12451
- 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.
-
- Clinical Social Worker
- Paris, TX
- NPI 1942238316
National Provider Directory
National Provider DirectoryLocations
200 W Marshall St
Pittsburg, TX 75686
Phone (903) 853-5053
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 12451 | TX | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467300-01 | Medicaid | TX |
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.