Active NPI
Children of Nun's Lighthouse True Blue Christian Counseling Center
- Mental Health Counselor
- Bedford, TX
National Provider Identifier
1881319713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- CHILDREN OF NUN'S LIGHTHOUSE TRUE BLUE CHRISTIAN COUNSELING CENTER
- Practice address
- 2012 Shady Brook Dr
Bedford, TX 76021-5605 - Phone
- (817) 754-0069
- NPI assigned
- Oct 4, 2022
- Last updated
- Oct 4, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Andrew Nunley III, LPC
- Title
- Ceo
- Phone
- (817) 754-0069
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| Professional Counselor | 101YP2500X | |||
| Community/Behavioral Health Agency | 251S00000X |
Addresses
Primary practice location
2012 Shady Brook Dr
Bedford, TX 76021-5605
Mailing address
1500 Wimberly CT
Bedford, TX 76021-2467
Phone (817) 754-0069
National Provider Directory
National Provider DirectoryLocations
2012 Shady Brook Dr
Bedford, TX 76021
Phone (817) 691-7898
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": "1664841600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1664841600000",
"number": "1881319713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 WIMBERLY CT",
"city": "BEDFORD",
"state": "TX",
"postal_code": "760212467",
"telephone_number": "817-754-0069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2012 SHADY BROOK DR",
"city": "BEDFORD",
"state": "TX",
"postal_code": "760215605",
"telephone_number": "817-754-0069"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHILDREN OF NUN'S LIGHTHOUSE TRUE BLUE CHRISTIAN COUNSELING CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-04",
"last_updated": "2022-10-04",
"certification_date": "2022-10-04",
"status": "A",
"authorized_official_last_name": "NUNLEY",
"authorized_official_first_name": "ANDREW",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "817-754-0069",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bedford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.