COMMUNITY COUNSELING SERVICES (NPI# 1124398896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124398896 |
| Entity Type | Organization |
| Organization Name | COMMUNITY COUNSELING SERVICES |
| Practice Address |
11360 West Lacoma Road Lyford TX 78569 |
| Mailing Address |
11360 West Lacoma County Road Lyford TX 78569 |
| Practice Telephone | 9563431439 |
| Practice Fax Number | 9563473182 |
| Mailing Telephone | 9563431439 |
| Mailing Fax Number | 9563473182 |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2012-01-11 |
| Authorized Official Name | MRS. WENDA ANN KOLTERMAN (PROFESSIONAL COUNSELOR) |
| Authorized Official Telephone | 9563431439 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 19782 | TX | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 179375401 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073078564 | Community Counseling Services | Clinic/Center | 219 Wood St, West Point, MS 39773-3293 | 2019-02-08 |
| 1538389002 | Community Counseling Services | Community/Behavioral Health | 25 1st Ave Ne, Suite 107, Hickory, NC 28601-6220 | 2007-04-26 |
| 1831260082 | Community Counseling Services | Counselor | 3281 Veterans Memorial Hwy, Suite E14, Ronkonkoma, NY 11779-7676 | 2006-11-10 |
| 1932167277 | Community Counseling Services | Counselor | 357 Kansas Ave Se, Huron, SD 57350-2517 | 2006-05-03 |
| 1922127133 | Community Counseling Services | Counselor | 1721 S Ingram Ave, Sedalia, MO 65301-7535 | 2007-03-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COMMUNITY COUNSELING SERVICES | 125 Dons Way, Hot Springs National Park, AR 71913 |
| Oregon Corporations, Companies and Business Names | COMMUNITY COUNSELING SERVICES | 85600 Lattin Lane, Pleasant Hill, OR 97455 |
| Street Address |
11360 WEST LACOMA ROAD |
| City | LYFORD |
| State | TX |
| Zip Code | 78569 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871093260 | Ifeanyi Gabriel Ezeh | Counselor | 8413 Park Avenue, Lyford, TX 78569 | 2018-02-13 |
| 1023264579 | Henry N Rodriguez | Ambulance | 7882 Business 77, Lyford, TX 78569 | 2008-08-15 |
| 1952512857 | Maria L. Gonzales | Social Worker | 14644 Farm To Market Road 498, Lyford, TX 78569 | 2007-05-24 |
| 1194847715 | Lyford Cisd | Local Education Agency (LEA) | 8218 Simon Gomez Blvd, Lyford, TX 78569 | 2007-04-04 |
| 1003058751 | Henry N Rodriguez | Ambulance | 7882 Business 77, Lyford, TX 78569-0000 | 2009-03-26 |
| 1407036270 | Wenda Ann Kolterman | Counselor | 11360 La Coma Road, Lyford, TX 78569-0100 | 2007-11-09 |
| 1225166960 | Roberto Castillero | Psychologist | 378 West Glen Lofton St, Lyford, TX 78569-0396 | 2007-03-02 |
| 1457838138 | John Paul Esparza | Registered Nurse | 9513 El Maneado Rd, Lyford, TX 78569-2114 | 2018-07-25 |
| 1366900656 | Marissa Leandra Martinez | Specialist/Technologist | 6610 Primrose Rd, Lyford, TX 78569-2375 | 2019-03-06 |
| 1881146066 | Micah Anthony Ramos | Specialist/Technologist | 12997 Fm 491, Lyford, TX 78569-2500 | 2016-11-03 |
| Find all providers in zip 78569 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558826 | Mercy Clinic | Clinic/Center | 951 Tristar Dr, Webster, TX 77598-1536 | 2020-11-03 |
| 1477150688 | Sun Houston, LLC | Clinic/Center | 7505 Fannin St Ste 430, Houston, TX 77054-1944 | 2020-10-01 |
| 1295341147 | Mo City Apothecary LLC | Clinic/Center | 3708 Texas Pkwy Ste F, Missouri City, TX 77489-6173 | 2020-09-16 |
| 1114531167 | Action Potential - Sports and Neurological Rehab, Pllc | Clinic/Center | 3816 S Lamar Blvd Apt 2712, Austin, TX 78704-7955 | 2020-09-06 |
| 1609480755 | Galloway Clinic Pllc | Clinic/Center | 1336 N Galloway Ave Ste 124a, Mesquite, TX 75149-2490 | 2020-09-06 |
| 1508470170 | Honestar Wound Care Pllc | Clinic/Center | 7908 Modena Dr, Fort Worth, TX 76126-6144 | 2020-09-01 |
| 1093328981 | Caspian Medical Services | Clinic/Center | 10710 Kuykendahl Rd Ste 150, The Woodlands, TX 77381-2695 | 2020-08-28 |
| 1992318885 | Integra Assessments | Clinic/Center | 10710 Kuykendahl Rd Ste 175, The Woodlands, TX 77381-2695 | 2020-08-28 |
| 1912517426 | Med Cure Clinic | Clinic/Center | 102703 Alief Clodine Rd, Houston, TX 77082 | 2020-08-10 |
| 1538779145 | Family Choice Clinic, Inc. | Clinic/Center | 12808 W Airport Blvd Ste 260f, Sugar Land, TX 77478-6238 | 2020-08-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.