NPI 1811787476 · live from the CMS NPI Registry
3:30 Counseling & Psychological Services PLLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Jefferson, TX. National Provider Identifier 1811787476, active.
NPI record
| NPI | 1811787476 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Clinic/Center, Mental Health (Including Community Mental Health Center) 261QM0801X |
| Practice location | 3831 Blackjack Rd, Jefferson, TX 75657 |
| Practice phone | 903-268-9958 |
| Enumerated | May 7, 2025 |
| Last updated | July 25, 2025 |
| Authorized official | Lisa Daniel, LPC, Lssp, Owner |
| Other names | 3:30 Counseling & Psychological Services PLLC |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | — |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | — |
| Counselor, Mental Health | 101YM0800X | — |
| Counselor, Professional | 101YP2500X | — |
| Psychologist, School | 103TS0200X | — |
| Social Worker | 104100000X | — |
| Clinic/Center, Adult Mental Health | 261QM0850X | — |
| Social Worker, Clinical | 1041C0700X | — |
| Social Worker, School | 1041S0200X | — |
| Marriage & Family Therapist | 106H00000X | — |
| Case Manager/Care Coordinator | 171M00000X | — |
| Community/Behavioral Health | 251S00000X | — |
| Clinic/Center, Adolescent and Children Mental Health | 261QM0855X | — |
| Clinic/Center, Multi-Specialty | 261QM1300X | — |
| Clinic/Center, Mental Health (Including Community Mental Health Center) primary | 261QM0801X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.