Organization Active NPI

Smith County Champions for Children

  • Mental Health Counselor
  • Tyler, TX
National Provider Identifier
1952933749
Registry record updated Feb 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SMITH COUNTY CHAMPIONS FOR CHILDREN
Practice address
4883 Hightech Dr
Tyler, TX 75703-2617
Phone
(903) 592-1454
NPI assigned
Feb 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2020

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

Authorized official

Name
Andria R Horton
Title
Director of Development
Phone
(903) 592-1454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

4883 Hightech Dr
Tyler, TX 75703-2617

Mailing address

4883 Hightech Dr
Tyler, TX 75703-2617
Phone (903) 592-1454

National Provider Directory

National Provider Directory

Locations

4883 Hightech Dr
Tyler, TX 75703
Phone (903) 592-1454

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": "1581292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581811200000",
    "number": "1952933749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4883 HIGHTECH DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757032617",
            "telephone_number": "903-592-1454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4883 HIGHTECH DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757032617",
            "telephone_number": "903-592-1454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH COUNTY CHAMPIONS FOR CHILDREN",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-10",
        "last_updated": "2020-02-16",
        "certification_date": "2020-02-16",
        "status": "A",
        "authorized_official_last_name": "HORTON",
        "authorized_official_first_name": "ANDRIA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTOR OF DEVELOPMENT",
        "authorized_official_telephone_number": "903-592-1454"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "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 Feb 16, 2020; 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.