COMMUNITY COUNSELING CENTER (NPI# 1154323566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154323566 |
| Entity Type | Organization |
| Organization Name | COMMUNITY COUNSELING CENTER |
| Practice Address |
4757 Main Ave Groves TX 77619-4740 |
| Practice Telephone | 4099632331 |
| Practice Fax Number | 4099632346 |
| Mailing Telephone | 4099632331 |
| Mailing Fax Number | 4099632346 |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2008-08-22 |
| Authorized Official Name | MS. AMBER MALESCHA DEROUEN (LICENSED PROF. COUNSELOR/THERAPIST) |
| Authorized Official Telephone | 4099632331 |
| Authorized Official Credential | MS, LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 18834 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 164006202 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740482587 | Community Counseling Center | Counselor | 850 Mcallister St, Greenville, MS 38701-5805 | 2007-06-04 |
| 1609920784 | Community Counseling Center | Community/Behavioral Health | 714 E Sahara Ave, Las Vegas, NV 89104-2942 | 2007-01-23 |
| 1730633207 | Community Counseling Center | Community/Behavioral Health | 1129 Marsh St, San Luis Obispo, CA 93401-3323 | 2016-08-12 |
| 1417302795 | Community Counseling Center | Clinic/Center | 402 S Silver Springs Rd, Cape Girardeau, MO 63703-7536 | 2016-04-25 |
| 1235507633 | Community Counseling Center | Community/Behavioral Health | 714 E Sahara Ave, Las Vegas, NV 89104-2942 | 2015-09-02 |
| 1306231261 | Community Counseling Center | Case Management | 714 E Sahara Ave, Las Vegas, NV 89104-2942 | 2015-03-30 |
| 1568855401 | Community Counseling Center | Community/Behavioral Health | 714 E Sahara Ave, Las Vegas, NV 89104-2942 | 2015-03-17 |
| 1386938231 | Community Counseling Center | Counselor | 7950 Nations Ford Rd, Ste D4, Charlotte, NC 28217-8014 | 2011-06-07 |
| 1184952483 | Community Counseling Center | Marriage & Family Therapist | 515 N Penelope St, Belton, TX 76513-2675 | 2009-11-24 |
| 1316177173 | Community Counseling Center | Community/Behavioral Health | 4810 Wrightsville Ave, Wilmington, NC 28403-6917 | 2009-07-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | COMMUNITY COUNSELING CENTER | 3737 Portland Rd Ne, Salem, OR 97303 |
| System for Award Management (SAM) Entities | COMMUNITY COUNSELING CENTER | 402 S Silver Springs Rd, Cape Girardeau, MO 63703-7536 |
| Virginia Business Entities | COMMUNITY COUNSELING CENTER INC. | 96 Campbell St, Harrisonburg, Virginia 22801-4010 |
| Oregon Corporations, Companies and Business Names | COMMUNITY COUNSELING CENTER OF ASHLAND | 600 Siskiyou Blvd, Ashland, OR 97520 |
| System for Award Management (SAM) Entities | COMMUNITY COUNSELING CENTER OF CENTRAL CONNECTICUT INC. | 53 Muir Ave, Bristol, CT 06010-7215 |
| Indiana Business Entities | COMMUNITY COUNSELING CENTER OF INDIANA, INC. | 6319 Constitution Dr, Ft. Wayne, IN 46804 |
| Street Address |
4757 MAIN AVE |
| City | GROVES |
| State | TX |
| Zip Code | 77619-4740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659587939 | Scott Warren Marks | Counselor | 4757 Main Ave, Groves, TX 77619-4740 | 2007-05-15 |
| 1568677664 | Amber Malescha Banken | Counselor | 4757 Main Ave, Groves, TX 77619-4740 | 2007-05-11 |
| 1356483465 | Frances Alysoun Marks | Counselor | 4757 Main Ave, Groves, TX 77619-4740 | 2007-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821565458 | Ahmed Zead Issa | Non-emergency Medical Transport (VAN) | 3947 Main Ave, Groves, TX 77619 | 2018-11-01 |
| 1467981878 | John Erick Thomson | Physical Therapy Assistant | 4301 Mckinley Ave, Groves, TX 77619 | 2017-06-08 |
| 1992066872 | Big Hill Bayou Emergency Physicians | Emergency Medicine | 5590 39th Street, Groves, TX 77619 | 2012-06-06 |
| 1861581027 | Gregory L Hollier | Chiropractor | 4820 Tiwn City Hwy, Groves, TX 77619 | 2006-10-12 |
| 1447879689 | Ashley Wagner | Licensed Vocational Nurse | 2726 3rd Ave, Groves, TX 77619-2614 | 2020-04-08 |
| 1295816312 | Groves Er Physicians Group P A | Emergency Medicine | 5500 39th Street, Groves, TX 77619-2905 | 2006-10-17 |
| 1639172778 | Renaissance Hospitals Inc | General Acute Care Hospital | 5500 39th St, Groves, TX 77619-2905 | 2005-05-23 |
| 1275854663 | Freedom Er Physicians Pllc | Emergency Medicine | 5500 39th St, Groves, TX 77619-2905 | 2010-06-20 |
| 1336476845 | Kiglapait Hospital Corporation | General Acute Care Hospital | 5500 39th St, Groves, TX 77619-2905 | 2009-11-05 |
| 1639310634 | Lthm Groves - Operations LLC | Psychiatric Unit | 5500 39th St, Groves, TX 77619-2905 | 2009-03-20 |
| Find all providers in zip 77619 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821614348 | Christavia Willridge | Counselor | 3035 Berry Ave, Groves, TX 77619-3411 | 2020-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558115 | Kenshara Marie Cravens | Counselor | 7825 Diamond Oak Dr, Texas City, TX 77591-2545 | 2020-11-08 |
| 1144821836 | Jonathan Rea | Counselor | 1408b Stonehollow Dr, Kingwood, TX 77339-2276 | 2020-11-08 |
| 1881295806 | Erin Hope Ellett | Counselor | 360 N West St, Bertram, TX 78605-4321 | 2020-11-05 |
| 1366043432 | Teri Hensley Marrow | Counselor | 4922 Cedar Spring Dr, Missouri City, TX 77459-4088 | 2020-11-05 |
| 1205437373 | Florida Nyanpinga | Counselor | 12243 Valley Lodge Pkwy, Humble, TX 77346-3667 | 2020-11-05 |
| 1750982898 | Michelle Rittenour | Counselor | 3150 Garrison Rd Apt 517, Corinth, TX 76210-1814 | 2020-11-05 |
| 1982205191 | Ashlee Tolle Bixby | Counselor | 1035 Dairy Ashford Rd # Set220, Houston, TX 77079-4608 | 2020-11-04 |
| 1043811441 | Lydia Neighbors | Counselor | 100 S. Texas St, Tioga, TX 76271 | 2020-11-03 |
| 1093316358 | Michelle Hill Peterson | Counselor | 311 Bluebell Dr, Glenn Heights, TX 75154-8760 | 2020-11-03 |
| 1497356885 | Courtney Adcox | Counselor | 5503 Research Dr Apt 6105, San Antonio, TX 78240-5075 | 2020-11-03 |
| 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.