CHILDREN'S CRISIS PREVENTION NETWORK, INC. (NPI# 1477833135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477833135 |
| Entity Type | Organization |
| Organization Name | CHILDREN'S CRISIS PREVENTION NETWORK, INC. |
| Other Organization Name | COMMUNITY CARE & PREVENTION NETWORK |
| Practice Address |
7479 State Highway 19 S Athens TX 75751-8979 |
| Mailing Address |
Po Box 2464 Athens TX 75751-7464 |
| Practice Telephone | 9036773220 |
| Practice Fax Number | 9036770710 |
| Mailing Telephone | 9036773220 |
| Mailing Fax Number | 9036770710 |
| Enumeration Date | 2011-08-25 |
| Last Update Date | 2011-08-25 |
| Authorized Official Name | RICHARD ELLIOTT WAGNER (LEAD THERAPIST) |
| Authorized Official Telephone | 9036773220 |
| Authorized Official Credential | M.A., L.P.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | LPA- 12381 | TX | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LCDC- 11123 | TX | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CCDS- 0831-0991 | TX | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LCDC- 6684 | TX | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LCDC- 1066 | TX | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
LPC- 19613 | TX | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
LSSP-S 6100-S | TX | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
LPC- 15979 | TX | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
LPC- 9187 | TX | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
LPC- 19349 | TX | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
LPC- 20058 | TX | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
LPC-S 1302 | TX | Behavioral Health & Social Service Providers |
| N | 103TS0200X |
Psychologist Specialization: School |
LSSP- 3013 | TX | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | LMFT- 0000 | TX | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LPC- 20058 | TX | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Community Care & Prevention Network | Doing Business As Name - Organization |
| Street Address |
7479 STATE HIGHWAY 19 S |
| City | ATHENS |
| State | TX |
| Zip Code | 75751-8979 |
| 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 | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487251187 | Kara Archer | Counselor | 224 Columbus Rd # 724, Athens, OH 45701-1334 | 2020-10-06 |
| 1235696766 | Lotus Counseling Services of Athens, LLC | Counselor | 545 Research Dr Ste B, Athens, GA 30605-2745 | 2019-02-20 |
| 1881185916 | Agnes Ebedi | Counselor | 744 Tell St Ste 100, Athens, TN 37303 | 2018-05-24 |
| 1306344148 | Patsy Marie Jackson | Counselor | 847 Highway 154, Athens, LA 71003-3103 | 2018-01-26 |
| 1497297816 | Hannah Hall | Counselor | 367 Prince Ave Ste G, Athens, GA 30601-2471 | 2016-11-16 |
| 1477919199 | Bethany L. Fulton | Counselor | 530 W Union St Ste D, Athens, OH 45701-8303 | 2016-01-11 |
| 1568827616 | Wounded Healers Energy Center, LLC | Counselor | 187 E State St Ste C, Athens, OH 45701-1764 | 2015-12-16 |
| 1356715171 | Brandon Humphries | Counselor | 704 W Madison Ave, Athens, TN 37303-3428 | 2015-11-17 |
| 1245604164 | Jolie Daigle | Counselor | 232 Hidden Spring Way, Athens, GA 30605-5745 | 2015-11-16 |
| 1649664046 | Teresa Jan Thompson | Counselor | 2371 Green Gate Rd, Athens, TX 75752-5168 | 2015-03-24 |
| 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.