Active NPI
Christian Counseling Group, Inc.
- Clinical Social Worker
- Westport, MA
National Provider Identifier
1750090643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- CHRISTIAN COUNSELING GROUP, INC.
- Practice address
- 699 State Rd Ste 5
Westport, MA 02790-2871 - Phone
- (508) 496-0007
- Fax
- (508) 998-2176
- NPI assigned
- Nov 18, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Laporte, LICSW
- Title
- President
- Phone
- (508) 496-0007
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
699 State Rd Ste 5
Westport, MA 02790-2871
Mailing address
699 State Rd Ste 5
Westport, MA 02790-2871
Phone (508) 496-0007
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 193200000X | Other | MA | MULTI-SPECIALTY GROUP |
National Provider Directory
National Provider DirectoryLocations
699 State Rd
Ste 5
Westport, MA 02790
Phone (508) 496-0007
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668729600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1668729600000",
"number": "1750090643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "699 STATE RD STE 5",
"city": "WESTPORT",
"state": "MA",
"postal_code": "027902871",
"telephone_number": "508-496-0007",
"fax_number": "508-998-2176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "699 STATE RD STE 5",
"city": "WESTPORT",
"state": "MA",
"postal_code": "027902871",
"telephone_number": "508-496-0007",
"fax_number": "508-998-2176"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHRISTIAN COUNSELING GROUP, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-18",
"last_updated": "2022-11-18",
"certification_date": "2022-11-18",
"status": "A",
"authorized_official_last_name": "LAPORTE",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "508-496-0007",
"authorized_official_credential": "LICSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTI-SPECIALTY GROUP",
"identifier": "193200000X",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Westport, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.