Organization Active NPI

Christian Counseling Group, Inc.

  • Clinical Social Worker
  • Westport, MA
National Provider Identifier
1750090643
Registry record updated Nov 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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

Updated by the provider on Nov 18, 2022

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

Authorized official

Name
David Laporte, LICSWNPI 1336223841
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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
193200000XOtherMAMULTI-SPECIALTY GROUP

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.