NPIMap

Organization Active NPI

Lake Creek Christian Counseling Center

  • Adult Mental Health Clinic/Center
  • Austin, TX
National Provider Identifier
1790923688
Registry record updated Jan 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
12836 Issued in TX
Legal business name
LAKE CREEK CHRISTIAN COUNSELING CENTER
Practice address
11603 Jamieson Dr
Austin, TX 78750-2543
Phone
(512) 258-3034
NPI assigned
Jan 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2009

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

Authorized official

Name
Ms. Jean Rogers Bringol, LPC
Title
Director
Phone
(512) 258-3034

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 12836 TX Primary

Addresses

Primary practice location

11603 Jamieson Dr
Austin, TX 78750-2543

Mailing address

11603 Jamieson Dr
Austin, TX 78750-2543
Phone (512) 258-3034

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1233273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233273600000",
    "number": "1790923688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11603 JAMIESON DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787502543",
            "telephone_number": "512-258-3034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11603 JAMIESON DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787502543",
            "telephone_number": "512-258-3034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE CREEK CHRISTIAN COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-30",
        "last_updated": "2009-01-30",
        "status": "A",
        "authorized_official_last_name": "BRINGOL",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "ROGERS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "512-258-3034",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "TX",
            "license": "12836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2009; 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.