Organization Active NPI

Champions Christian Counseling Center L.L.C

  • Professional Counselor
  • Tomball, TX
National Provider Identifier
1952519332
Registry record updated Oct 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
59667 Issued in TX
Legal business name
CHAMPIONS CHRISTIAN COUNSELING CENTER L.L.C
Practice address
333 S Cherry St
Tomball, TX 77375-6614
Phone
(281) 357-4111
NPI assigned
May 18, 2007
Last updated
Oct 17, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2011

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

Authorized official

Name
Paula H. Whitaker, M.ED., MA, PCC, LPCI
Title
Ministry Director & Counselor
Phone
(281) 357-4111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 59667 TX Primary

Addresses

Primary practice location

333 S Cherry St
Tomball, TX 77375-6614

Mailing address

333 S Cherry St
Tomball, TX 77375-6614
Phone (281) 357-4111

Other identifiers 1

IdentifierTypeStateIssuer
3394533OtherTXAETNA INSURANCE PPO

National Provider Directory

National Provider Directory

Locations

333 S Cherry St
Tomball, TX 77375
Phone (281) 357-0074

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318809600000",
    "number": "1952519332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 S CHERRY ST",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773756614",
            "telephone_number": "281-357-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 S CHERRY ST",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773756614",
            "telephone_number": "281-357-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPIONS CHRISTIAN COUNSELING CENTER L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2011-10-17",
        "status": "A",
        "authorized_official_last_name": "WHITAKER",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "MINISTRY DIRECTOR & COUNSELOR",
        "authorized_official_telephone_number": "281-357-4111",
        "authorized_official_credential": "M.ED., MA, PCC, LPCI"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "59667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA INSURANCE PPO",
            "identifier": "3394533",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomball, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; 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.