Organization Active NPI

Texas Rehab Counseling & Assessments

  • Rehabilitation Counselor
  • Denton, TX
National Provider Identifier
1801315866
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation CounselorTaxonomy code 225C00000X
License
00230818 Issued in TX
Legal business name
TEXAS REHAB COUNSELING & ASSESSMENTS
Practice address
1332 Teasley LN # 103a
Denton, TX 76205-7946
Phone
(469) 986-9629
Fax
(469) 453-3193
NPI assigned
Sep 11, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Sophia CannonNPI 1205355260
Title
Director of Clinical Services
Phone
(469) 986-9629

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU
Rehabilitation Counselor 225C00000X 00230818 TX Primary

Addresses

Primary practice location

1332 Teasley LN # 103a
Denton, TX 76205-7946

Mailing address

1332 Teasley LN # 103a
Denton, TX 76205-7946
Phone (469) 986-9629

Other practice location 1

333 Longshore Dr
Little Elm, TX 75068-5486
Phone (469) 406-5351

National Provider Directory

National Provider Directory

Locations

1332 Teasley Ln
#103A
Denton, TX 76205
Phone (469) 986-9629

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1505088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1801315866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1332 TEASLEY LN # 103A",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762057946",
            "telephone_number": "469-986-9629",
            "fax_number": "469-453-3193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1332 TEASLEY LN # 103A",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762057946",
            "telephone_number": "469-986-9629",
            "fax_number": "469-453-3193"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 Longshore Dr",
            "address_purpose": "LOCATION",
            "city": "Little Elm",
            "state": "TX",
            "postal_code": "750685486",
            "country_code": "US",
            "telephone_number": "469-406-5351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TEXAS REHAB COUNSELING & ASSESSMENTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-11",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CANNON",
        "authorized_official_first_name": "SOPHIA",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL SERVICES",
        "authorized_official_telephone_number": "469-986-9629"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": "TX",
            "license": "00230818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.