Child Trauma Counseling Services, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC13958 Issued in AZ

Legal business name

CHILD TRAUMA COUNSELING SERVICES, LLC

Practice address

2333 N Pebble Creek Pkwy Ste A200
Goodyear, AZ 85395-9046

Phone

(623) 521-9043

NPI assigned

Oct 9, 2015

Last updated

Oct 9, 2015By 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

Samantha B. White, LPCNPI 1306001268

Title

Owner

Phone

(623) 521-9043

Specialties & licenses 1

Addresses

Locations

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.

• Samantha White

  • Mental Health Counselor
  • Goodyear, AZ
  • NPI 1306001268

  Professional

  NPD (past) Authorized official

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

{
    "created_epoch": "1444348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444348800000",
    "number": "1851762330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2597 N 141ST LN",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952495",
            "telephone_number": "623-521-9043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 N PEBBLE CREEK PKWY STE A200",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853959046",
            "telephone_number": "623-521-9043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD TRAUMA COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-09",
        "last_updated": "2015-10-09",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-521-9043",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC13958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel D Charous, MD
• Genevieve Chavannes, SPEECH LANGUAGE PATH
• Viviane Che
• Howard K Chen, MD
• Ashley Marie Chesky, LPC
• Kimberly Jane Chill, P.T.
• Daniel Malik Chin
• Tung Chiu
• Minkyung Choi
• Troy L Christensen, D.D.S.,M.S.

• Professional Counselor in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2015; 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.