Organization Active NPI

Children of Nun's Lighthouse True Blue Christian Counseling Center

  • Mental Health Counselor
  • Bedford, TX
National Provider Identifier
1881319713
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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

Authorized official

Name
Dr. Andrew Nunley III, LPCNPI 1447980727
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.