NPIMap

Organization Active NPI

Grace Counceling Center

  • Professional Counselor
  • Tyler, TX
National Provider Identifier
1922594308
Registry record updated Jul 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
GRACE COUNCELING CENTER
Practice address
1828 E SE Loop 323 Ste LL14
Tyler, TX 75701-8398
Phone
(903) 526-4044
NPI assigned
Jul 9, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2018

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

Authorized official

Name
Kim Camp, LPC-S
Title
Director
Phone
(903) 526-4044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

1828 E SE Loop 323 Ste LL14
Tyler, TX 75701-8398

Mailing address

1828 E SE Loop 323 Ste LL14
Tyler, TX 75701-8398
Phone (903) 526-4044

National Provider Directory

National Provider Directory

Locations

1828 Ese 323 Loop
Ste LL14
Tyler, TX 75701
Phone (903) 526-4044

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1531094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531094400000",
    "number": "1922594308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1828 E SE LOOP 323 STE LL14",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757018398",
            "telephone_number": "903-526-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1828 E SE LOOP 323 STE LL14",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757018398",
            "telephone_number": "903-526-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE COUNCELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-09",
        "last_updated": "2018-07-09",
        "status": "A",
        "authorized_official_last_name": "CAMP",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "903-526-4044",
        "authorized_official_credential": "LPC-S"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.