CHRISTIAN COUNSELING CENTER – NPI #1427061001
Clinic/Center

CHRISTIAN COUNSELING CENTER is an AHC clinic located in PADUCAH, KY. NPPES has assigned the NPI number 1427061001 to CHRISTIAN COUNSELING CENTER on August 14, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CHRISTIAN COUNSELING CENTER” is a dba name, the actual legal business name for this organization is BROADWAY CHURCH OF CHRIST. The primary taxonomy selected by this provider is 261QM0801X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Mental Health (Including Community Mental Health Center)

The NPI profile was previously updated about 18 years ago on Jul 25, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHRISTIAN COUNSELING CENTER below.

NPI Profile for
BROADWAY CHURCH OF CHRIST

NPI Number
1427061001
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BROADWAY CHURCH OF CHRIST
Doing Business As (dba): CHRISTIAN COUNSELING CENTER
Primary location
2820 JEFFERSON ST
PADUCAH, KY 42001
Phone: (270) 442-5738 Fax: (270) 442-3172
Mailing address
PO BOX 8211
PADUCAH, KY 42002
Phone: (270) 442-5738 Fax: (270) 442-3172
Organization Subpart
No
Authorized Official
ROGER THOMPSON
EXECUTIVE DIRECTOR
Phone: (270) 442-5738
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0801X
- Clinic/Center / Mental Health (Including Community Mental Health Center) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.