Active NPI
Smith County Champions for Children
- Mental Health Counselor
- Tyler, TX
National Provider Identifier
1952933749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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 DirectoryLocations
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.
-
- Professional Counselor
- Tyler, TX
- NPI 1184257859
-
- Professional Counselor
- Tyler, TX
- NPI 1629687413
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.