Organization Active NPI

Synergy Counseling Services & Associates Inc

  • Clinical Social Worker
  • Denison, TX
National Provider Identifier
1851002174
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SYNERGY COUNSELING SERVICES & ASSOCIATES INC
Practice address
1115 Memorial Dr Ste 5
Denison, TX 75020-2034
Phone
(903) 466-7868
Fax
(903) 843-8611
NPI assigned
Dec 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Authorized official

Name
Melissa A Tarver, LCSWNPI 1972193035
Title
Owner/ Clinician
Phone
(903) 466-7868

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

1115 Memorial Dr Ste 5
Denison, TX 75020-2034

Mailing address

1115 Memorial Dr Ste 5
Denison, TX 75020-2034
Phone (903) 466-7868

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240712001519 TX Part B Supplier - Clinic/Group Practice 4082159132 Receives reassigned benefits from 1 practitioner
Practice locations: Denison, TX

National Provider Directory

National Provider Directory

Locations

1115 Memorial Dr
Ste 5
Denison, TX 75020
Phone (903) 466-7868

1115 Memorial Dr
Denison, TX 75020
Phone (903) 361-6083

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": "1670371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709078400000",
    "number": "1851002174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 MEMORIAL DR STE 5",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750202034",
            "telephone_number": "903-466-7868",
            "fax_number": "903-843-8611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 MEMORIAL DR STE 5",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750202034",
            "telephone_number": "903-466-7868",
            "fax_number": "903-843-8611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY COUNSELING SERVICES & ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-07",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A",
        "authorized_official_last_name": "TARVER",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/ CLINICIAN",
        "authorized_official_telephone_number": "903-466-7868",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denison, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.