Organization Active NPI

Professional Christian Counseling Inc

  • Marriage & Family Therapist
  • Russellville, AR
National Provider Identifier
1922405570
Registry record updated Nov 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
M0601001 Issued in AR
Legal business name
PROFESSIONAL CHRISTIAN COUNSELING INC
Practice address
814 W B St
Russellville, AR 72801-3610
Phone
(479) 858-7111
NPI assigned
Nov 25, 2014
Last updated
Nov 25, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2014

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

Authorized official

Name
Mr. Harold Wayne Taylor, MSNPI 1114551868
Title
Secretary
Phone
(479) 858-7111

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X P0601001 AR
Marriage & Family Therapist 106H00000X M0601001 AR Primary

Addresses

Primary practice location

814 W B St
Russellville, AR 72801-3610

Mailing address

814 W B St
Russellville, AR 72801-3610
Phone (479) 858-7111

National Provider Directory

National Provider Directory

Locations

814 W B St
Russellville, AR 72801
Phone (479) 437-7330

Practitioners & affiliated clinicians

Practitioners 3

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": "1416873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416873600000",
    "number": "1922405570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 W B ST",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728013610",
            "telephone_number": "479-858-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 W B ST",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728013610",
            "telephone_number": "479-858-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL CHRISTIAN COUNSELING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-25",
        "last_updated": "2014-11-25",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "479-858-7111",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P0601001",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AR",
            "license": "M0601001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Russellville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; 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.