NPIMap

Organization Active NPI

On-Site Crisis Intervention LLC

  • Professional Counselor
  • El Paso, TX
National Provider Identifier
1720341753
Registry record updated Oct 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
62311 Issued in TX
Legal business name
ON-SITE CRISIS INTERVENTION LLC
Practice address
851 Gomez Rd
El Paso, TX 79932-4205
Phone
(915) 525-2796
Fax
(915) 581-6708
NPI assigned
Jun 25, 2012
Last updated
Oct 16, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2014

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

Authorized official

Name
Dr. Diane Hardwick Bryan, PH.D.NPI 1932488921
Title
Owner/Clinical Counselor
Phone
(915) 525-2796

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 7697 TX
Professional Counselor 101YP2500X 62311 TX Primary

Addresses

Primary practice location

851 Gomez Rd
El Paso, TX 79932-4205

Mailing address

851 Gomez Rd
El Paso, TX 79932-4205
Phone (915) 525-2796

Other identifiers 1

IdentifierTypeStateIssuer
13623745MedicaidNM

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, 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": "1340582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413417600000",
    "number": "1720341753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 GOMEZ RD",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799324205",
            "telephone_number": "915-525-2796",
            "fax_number": "915-581-6708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 GOMEZ RD",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799324205",
            "telephone_number": "915-525-2796",
            "fax_number": "915-581-6708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ON-SITE CRISIS INTERVENTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-25",
        "last_updated": "2014-10-16",
        "status": "A",
        "authorized_official_last_name": "BRYAN",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "HARDWICK",
        "authorized_official_title_or_position": "OWNER/CLINICAL COUNSELOR",
        "authorized_official_telephone_number": "915-525-2796",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "7697",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "62311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13623745",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2014; 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.