Titanium Counseling PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

22687 Issued in TX

Legal business name

TITANIUM COUNSELING PLLC

Practice address

675 Town Square Blvd
Suite 200, BLDG 1a
Garland, TX 75040-2992

Phone

(972) 768-9653

Fax

(214) 299-7601

NPI assigned

Jan 4, 2016

Organization subpart

No

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

Authorized official

Name

Gordon Lance Munn, LCSWNPI 1417957192

Title

President

Phone

(972) 768-9653

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

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

• Gordon Lance Munn, LCSW

  • Clinical Social Worker
  • Garland, TX
  • NPI 1417957192
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1451865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452470400000",
    "number": "1740646926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 TOWN SQUARE BLVD",
            "address_2": "SUITE 200, BLDG 1A",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750402992",
            "telephone_number": "972-768-9653",
            "fax_number": "214-299-7601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 TOWN SQUARE BLVD",
            "address_2": "SUITE 200, BLDG 1A",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750402992",
            "telephone_number": "972-768-9653",
            "fax_number": "214-299-7601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TITANIUM COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-04",
        "last_updated": "2016-01-11",
        "status": "A",
        "authorized_official_last_name": "MUNN",
        "authorized_official_first_name": "GORDON",
        "authorized_official_middle_name": "LANCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-768-9653",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "22687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Garland, TX
• Providers in Garland, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.