CRJ Counseling, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LCPC2407 Issued in KS

Legal business name

CRJ COUNSELING, LLC

Practice address

2006 1St Ave
Dodge City, KS 67801-2623

Phone

(620) 371-6548

Fax

(620) 371-7119

NPI assigned

Apr 11, 2015

Last updated

Apr 11, 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

Cindy Renee Jacobs, LCPCNPI 1114103223

Title

Owner/Therapist

Phone

(620) 371-6548

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

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.

• Cindy Renee Jacobs, LPC

  • Professional Counselor
  • Dodge City, KS
  • NPI 1114103223
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1428710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428710400000",
    "number": "1902292469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 1ST AVE",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678012623",
            "telephone_number": "620-371-6548",
            "fax_number": "620-371-7119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 1ST AVE",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678012623",
            "telephone_number": "620-371-6548",
            "fax_number": "620-371-7119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRJ COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-11",
        "last_updated": "2015-04-11",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "620-371-6548",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "KS",
            "license": "LAC1019",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "KS",
            "license": "LCPC2407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristopher Costello, CRNA
• Counseling and Mediation Center, Inc.
• County of Ford
• County of Ford (Ford County EMS)
• Craig Resources LLC (Craig Homecare)
• April M Crockett, RN
• Carol L Cummings, CPTA
• Charlie C Dao, OD
• David M. Bunkall, D.D.S., M.S., P.a. (Bunkall Orthodontics)
• Andrea Marie Davis, MSPT

• Community/Behavioral Health Agency in Dodge City, KS
• Providers in Dodge City, KS by specialty
• Community/Behavioral Health Agency in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2015; 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.