Central Texas Mental Health, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

CENTRAL TEXAS MENTAL HEALTH, LLC

Practice address

702 S Washington Ave
Bryan, TX 77803-3985

Phone

(979) 779-2864

Fax

(979) 696-5577

NPI assigned

Mar 26, 2007

Last updated

Nov 16, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. James L Woods, MA, LPC-S, LSOTP

Title

Executive Director

Phone

(979) 779-2864

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 2

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.

• Janice M. Childress, M.ED., LPC, LBSW

  • Case Manager/Care Coordinator
  • Bryan, TX
  • NPI 1366561896

  Mental Health

  NPD (past)
• Dorthy B Kotmann, M.ED., LPC

  • Mental Health Counselor
  • Bryan, TX
  • NPI 1649398868
  NPD (past)

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321401600000",
    "number": "1760509483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 S WASHINGTON AVE",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778033985",
            "telephone_number": "979-779-2864",
            "fax_number": "979-696-5577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 S WASHINGTON AVE",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778033985",
            "telephone_number": "979-779-2864",
            "fax_number": "979-696-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL TEXAS MENTAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2011-11-16",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "979-779-2864",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA, LPC-S, LSOTP"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609612-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Center for Orthopaedic Specialties PA
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• Central Texas Endoscopy Center LLC (Central Texas Endoscopy Center)
• Central Texas Heart Center
• Central Texas Orthotics & Prosthetics, LP (Hanger Clinic)
• Central Texas Sports Medicine & Orthopaedics, P.a.
• Manu Chacko, MD
• Tracey Lynn Chamberlain, OTR
• April Lynn Chamberland Tremblay, PHARMD, BCPS, BCCCP

• Mental Health Counselor in Bryan, TX
• Providers in Bryan, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; 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.