Organization Active NPI

Texarkana Professional Christian Counseling

  • Professional Counselor
  • Texarkana, TX
National Provider Identifier
1992769244
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
TEXARKANA PROFESSIONAL CHRISTIAN COUNSELING
Practice address
1920 Magnolia St
Texarkana, TX 75501-3912
Phone
(903) 794-0354
Fax
(903) 794-0354
NPI assigned
Apr 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Raymond D Whitten, LPCNPI 1841254877
Title
Partner
Phone
(903) 794-0354

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

1920 Magnolia St
Texarkana, TX 75501-3912

Mailing address

1920 Magnolia St
Texarkana, TX 75501-3912
Phone (903) 794-0354

Other identifiers 2

IdentifierTypeStateIssuer
0070LVOtherTXTEXAS BLUE CROSS BLUE SHI
8P174OtherARARKANSAS BLUE CROSS BLUE

National Provider Directory

National Provider Directory

Locations

1920 Magnolia St
Texarkana, TX 75501
Phone (903) 794-0354

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": "1144886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992769244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 MAGNOLIA ST",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755013912",
            "telephone_number": "903-794-0354",
            "fax_number": "903-794-0354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 MAGNOLIA ST",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755013912",
            "telephone_number": "903-794-0354",
            "fax_number": "903-794-0354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXARKANA PROFESSIONAL CHRISTIAN COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHITTEN",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "903-794-0354",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BLUE CROSS BLUE SHI",
            "identifier": "0070LV",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS BLUE CROSS BLUE",
            "identifier": "8P174",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Texarkana, TX

Sources for this page

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