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CHRISTIAN COUNSELING CENTER
NPI 1174984686
Counselor - Mental Health in Johnson City, NY

Active since March 10, 2016
780 HARRY L DR, JOHNSON CITY, NY 13790(607) 420-3020(607) 729-7779 Get Directions Write a Review

NPPES record last updated: June 14, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 14, 2018, Feb 15, 2017 (2 updates tracked since 2017).

About Christian Counseling Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHRISTIAN COUNSELING CENTER (NPI 1174984686) is a healthcare organization registered as a mental health in Johnson City, New York and active in the NPI registry since March 2016. The organization lists Joshua J Nickels, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1174984686
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameCALVARY COMMUNITY WESLEYAN CHURCH
Location Address780 HARRY L DRJohnson City, NY 13790
Mailing Address780 Harry L DrJohnson City, NY 13790-1036 · (607) 422-3020 · Fax (607) 729-7779
Phone(607) 420-3020
Fax(607) 729-7779
Organization SubpartYesParent: Calvary Community Weslyan Church
Authorized OfficialJoshua J NickelsExecutive Director · (607) 422-3020
Enumeration DateMarch 10, 2016
Last NPPES UpdateJune 14, 20182 updates tracked since enumeration
✔ NPI 1174984686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · 004573
780 HARRY L DR, Johnson City, NY 13790
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Other Names 1

Doing Business AsChristian Counseling Center

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DONALD FREDERIC BOWERSOX LMSW
Social Worker
780 HARRY L DR
JOHNSON CITY, NY 13790
Broome County (607) 729-7777
JOSHUA NICKELS
Counselor (Mental Health)
780 HARRY L DR
JOHNSON CITY, NY 13790
Broome County (607) 729-7777

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Calvary Community Wesleyan Church's NPI number?

The NPI number for Calvary Community Wesleyan Church is 1174984686. It was assigned to this organization in the NPPES registry on March 10, 2016. The provider is doing business as Christian Counseling Center.

Where is Calvary Community Wesleyan Church located?

Calvary Community Wesleyan Church is located at 780 Harry L Dr, Johnson City, NY 13790. The listed phone number is (607) 420-3020.

What is Calvary Community Wesleyan Church's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Calvary Community Wesleyan Church was last updated on June 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.