COMMUNITY COUNSELING CENTER INC (NPI# 1285946343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285946343 |
| Entity Type | Organization |
| Organization Name | COMMUNITY COUNSELING CENTER INC |
| Practice Address |
702 S Palestine St Athens TX 75751-3325 |
| Mailing Address |
Po Box 2536 Athens TX 75751-7536 |
| Practice Telephone | 9036759595 |
| Practice Fax Number | 9036772110 |
| Mailing Telephone | 9036759595 |
| Mailing Fax Number | 9036772110 |
| Enumeration Date | 2010-07-06 |
| Last Update Date | 2011-09-27 |
| Authorized Official Name | MRS. BONNY MCBRIDE (OWNER) |
| Authorized Official Telephone | 9036759595 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
S14353 | TX | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265825111 | Community Counseling Center Inc | Counselor | 250 S Shelby St, Greenville, MS 38701-4033 | 2015-03-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | COMMUNITY COUNSELING CENTER INC. | 96 Campbell St, Harrisonburg, Virginia 22801-4010 |
| Street Address |
702 S PALESTINE ST |
| City | ATHENS |
| State | TX |
| Zip Code | 75751-3325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255497939 | Sleep Right | Durable Medical Equipment & Medical Supplies | 702 S Palestine St, Athens, TX 75751-3325 | 2006-12-28 |
| 1972651560 | Bonny Mcbride | Social Worker | 702 S Palestine St, Athens, TX 75751-3325 | 2007-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700414810 | Morghan Jungman | Physical Therapy Assistant | 6444 South Palestine St, Athens, TX 75751 | 2020-04-01 |
| 1497313340 | Rebecca Lynne Moehlenbrock | Physical Therapy Assistant | 711 Lucas Dr., Athens, TX 75751 | 2019-06-04 |
| 1013487669 | Jammie Jae Chaney | Licensed Vocational Nurse | 207 Colonial Circle, Athens, TX 75751 | 2018-11-27 |
| 1215423397 | Valarie M Chambless | Registered Nurse | 1505 Hwy. 19 South, Athens, TX 75751 | 2018-07-02 |
| 1609378181 | Jennifer Lynn Griffith | Occupational Therapist | 907 S Palenstine St., Athens, TX 75751 | 2018-03-01 |
| 1285931832 | Leonard J Barbarisi | Surgery | 6444 S Palestine, Athens, TX 75751 | 2011-02-17 |
| 1801123104 | Paul J Michiels | Family Medicine | 5313 Fm 2494, Athens, TX 75751 | 2009-11-06 |
| 1851527550 | Jordan Risinger | Dentist | 800 S. Palestine St., Athens, TX 75751 | 2009-06-08 |
| 1306005798 | Shawn Tai | Internal Medicine | 115 Medical Cir Ste 106, Athens, TX 75751 | 2008-06-02 |
| 1083730683 | Assisted Living Concepts Inc | Assisted Living Facility | 213 Cayuga Drive, Athens, TX 75751 | 2007-03-22 |
| Find all providers in zip 75751 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609480557 | Damien W Pettway | Social Worker | 445 Huntington Rd Ste 120, Athens, GA 30606-1840 | 2020-09-08 |
| 1689285124 | Samantha L Moon | Social Worker | 10715 State Route 691, Athens, OH 45701-9154 | 2020-08-10 |
| 1457978249 | Donna Leigh Bliss | Social Worker | 213 East Berkeshire Ct, Athens, GA 30606-8406 | 2020-06-29 |
| 1841814662 | Zoe M Johnson | Social Worker | 269 Towns Walk Dr, Athens, GA 30606-7977 | 2020-06-08 |
| 1205472537 | Andrea Deleo Whittaker | Social Worker | 330 Research Dr Ste 250, Athens, GA 30605-2747 | 2019-11-21 |
| 1598223349 | Latoya Sanders | Social Worker | 909 Blaine Rd, Athens, TX 75751-2969 | 2019-03-11 |
| 1801366729 | Kirstin Miani Kreutzer | Social Worker | 150 Tuxedo Rd, Athens, GA 30606-3134 | 2018-12-04 |
| 1851810949 | Cedar Creek Wellness | Social Worker | 985 Gaines School Rd, Athens, GA 30605-3133 | 2017-09-11 |
| 1386189793 | Devin Mcleod | Social Worker | 265 Pineneedle Rd, Athens, GA 30606-2715 | 2016-12-21 |
| 1851841233 | Leslie Holliday Ring | Social Worker | 337 S Milledge Ave Ste 210, Athens, GA 30605-5664 | 2016-10-10 |
| Find all providers in ATHENS | ||||
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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.