NPIMap

Organization Active NPI

Refuge Counseling Center LLC

  • Addiction (Substance Use Disorder) Counselor
  • Conroe, TX
National Provider Identifier
1962899716
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
REFUGE COUNSELING CENTER LLC
Practice address
3513 North Frazier Street
Conroe, TX 77303
Phone
(936) 648-5379
Fax
(866) 341-0586
NPI assigned
Apr 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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

Authorized official

Name
Shannon Brown, LPCNPI 1558619684
Title
Clinical Director/Owner
Phone
(936) 648-5379

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
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X Primary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 67759 TX

Addresses

Primary practice location

3513 North Frazier Street
Conroe, TX 77303

Mailing address

3513 North Frazier Street
Conroe, TX 77303
Phone (936) 648-5379

Other names 1

  • Refuge Trauma & Counseling Center Former legal business name

National Provider Directory

National Provider Directory

Locations

3513 N Frazier St
Conroe, TX 77303
Phone (936) 648-5379

Practitioners & affiliated clinicians

Practitioners 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661126400000",
    "number": "1962899716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3513 NORTH FRAZIER STREET",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "77303",
            "telephone_number": "936-648-5379",
            "fax_number": "866-341-0586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3513 NORTH FRAZIER STREET",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "77303",
            "telephone_number": "936-648-5379",
            "fax_number": "866-341-0586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFUGE COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-20",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR/OWNER",
        "authorized_official_telephone_number": "936-648-5379",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "67759",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Refuge Trauma & Counseling Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.