NPIMap

Organization Active NPI

Buckner Children and Family Services

  • Professional Counselor
  • Longview, TX
National Provider Identifier
1689773376
Registry record updated Jan 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
BUCKNER CHILDREN AND FAMILY SERVICES
Practice address
110 E Cotton St
Longview, TX 75601-7415
Phone
(903) 757-9383
Fax
(903) 757-4717
NPI assigned
Sep 21, 2006
Last updated
Jan 12, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2010

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

Authorized official

Name
Mrs. Beth Darrow Myers, LPC
Title
Supervisor
Phone
(903) 757-9383

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

110 E Cotton St
Longview, TX 75601-7415

Mailing address

110 E Cotton St
Longview, TX 75601-7415
Phone (903) 757-9383

Other identifiers 1

IdentifierTypeStateIssuer
133330401OtherTXPROVIDER

National Provider Directory

National Provider Directory
Tax ID family
Buckner Children Family Services4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

110 E Cotton St
Longview, TX 75601
Phone (903) 757-9383

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263254400000",
    "number": "1689773376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E COTTON ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756017415",
            "telephone_number": "903-757-9383",
            "fax_number": "903-757-4717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E COTTON ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756017415",
            "telephone_number": "903-757-9383",
            "fax_number": "903-757-4717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKNER CHILDREN AND FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2010-01-12",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "DARROW",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "903-757-9383",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER",
            "identifier": "133330401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2010; 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.