Organization Active NPI

Nightingale Counseling and Clinical Consultation Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Irving, TX
National Provider Identifier
1982257713
Registry record updated Jul 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
NIGHTINGALE COUNSELING AND CLINICAL CONSULTATION SERVICES, LLC
Practice address
4425 W Airport Fwy Ste 149
Irving, TX 75062-5850
Phone
(972) 765-2606
NPI assigned
Jul 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2019

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

Authorized official

Name
Aletha Raechelle Mathis, LCSW
Title
Managing Member
Phone
(972) 765-2606

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

4425 W Airport Fwy Ste 149
Irving, TX 75062-5850

Mailing address

4425 W Airport Fwy Ste 149
Irving, TX 75062-5850
Phone (972) 765-2606

National Provider Directory

National Provider Directory

Locations

4425 W Airport Fwy
Ste 149
Irving, TX 75062
Phone 2146925001 ext. 3112

NPI Registry JSON

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

{
    "created_epoch": "1563667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563667200000",
    "number": "1982257713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 W AIRPORT FWY STE 149",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750625850",
            "telephone_number": "972-765-2606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 W AIRPORT FWY STE 149",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750625850",
            "telephone_number": "972-765-2606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIGHTINGALE COUNSELING AND CLINICAL CONSULTATION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-21",
        "last_updated": "2019-07-21",
        "status": "A",
        "authorized_official_last_name": "MATHIS",
        "authorized_official_first_name": "ALETHA",
        "authorized_official_middle_name": "RAECHELLE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "972-765-2606",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2019; 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.