NPIMap

Organization Active NPI

Jireh Christian Center

Doing business as Jireh counseling Center

  • Professional Counselor
  • Stafford, TX
National Provider Identifier
1912050154
Registry record updated Nov 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
JIREH CHRISTIAN CENTER
Doing business as
Jireh counseling Center
Practice address
10701 Corporate Dr. Ste 209
Stafford, TX 77477-4050
Phone
(346) 874-7105
Fax
(346) 874-7106
NPI assigned
Jan 19, 2007
Last updated
Nov 8, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2018

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

Authorized official

Name
Dr. Verdale Goins, PH.D., LPC, CACIIINPI 1225232168
Title
Director
Phone
(303) 366-8424

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
Professional Counselor 101YP2500X CO Primary

Addresses

Primary practice location

10701 Corporate Dr. Ste 209
Stafford, TX 77477-4050

Mailing address

10701 Corporate Dr. Ste 209
Stafford, TX 77477-4050
Phone (346) 874-7105

Other identifiers 1

IdentifierTypeStateIssuer
37557201MedicaidTX

Other names 1

  • Jireh counseling Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Jireh Christian Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541635200000",
    "number": "1912050154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10701 CORPORATE DR. STE 209",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774774050",
            "telephone_number": "346-874-7105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10701 CORPORATE DR. STE 209",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774774050",
            "telephone_number": "346-874-7105",
            "fax_number": "346-874-7106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIREH CHRISTIAN CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2018-11-08",
        "status": "A",
        "authorized_official_last_name": "GOINS",
        "authorized_official_first_name": "VERDALE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "303-366-8424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., LPC, CACIII"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "37557201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jireh counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stafford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2018; 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.