ENDEAVOR COUNSELING CENTER LLC
NPI 1356040935
Counselor - Professional in Nacogdoches, TX

NPI Status: Active since March 02, 2023

Contact Information

4635 NE STALLINGS DR STE 104
NACOGDOCHES, TX
ZIP 75965
Phone: (936) 209-4090

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  • Organization
  • Counselor
  • Professional

About ENDEAVOR COUNSELING CENTER LLC

This page provides the complete NPI Profile along with additional information for Endeavor Counseling Center Llc, a provider established in Nacogdoches, Texas operating as a Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1356040935 assigned on March 2023. The practitioner's primary taxonomy code is 101YP2500X. The provider is registered as an organization and their NPI record was last updated March 2025. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Michelle Mixon (Owner)

NPI
1356040935
Provider Name
ENDEAVOR COUNSELING CENTER LLC
Entity Type
Organization
Location Address
4635 NE STALLINGS DR STE 104 NACOGDOCHES, TX 75965
Location Phone
(936) 209-4090
Mailing Address
4635 NE STALLINGS DR STE 104 NACOGDOCHES, TX 75965
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-02-2023
Last Update Date
03-26-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MICHELLE MIXON

Authorized Official Title
OWNER
Authorized Official Phone
(936) 209-4090

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1356040935
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2310604096
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 0 + 6 + 0 + 4 + 0 + 9 + 6 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1356040935 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1710296009 LISA KENNEDY RD, LD
Individual
Dietitian, Registered4635 NE STALLINGS DR STE 104
NACOGDOCHES, TX 75965
(936) 628-9123
1861973091LISA A KENNEDY, RD LLC
Organization
Dietitian, Registered4635 NE STALLINGS DR STE 104
NACOGDOCHES, TX 75965
(936) 628-9123
1972267888CREEL PHYSICAL THERAPY
Organization
Clinic/Center (Physical Therapy)4635 NE STALLINGS DR STE 104
NACOGDOCHES, TX 75965
(936) 556-0132
1609539196DR. AUSTIN MATTHEW CREEL PT, DPT, CERT. DN
Individual
Physical Therapist4635 NE STALLINGS DR STE 104
NACOGDOCHES, TX 75965
(936) 305-3354

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356040935, enumerated in the NPI registry as an "organization" on March 02, 2023

The provider is located at 4635 Ne Stallings Dr Ste 104 Nacogdoches, Tx 75965 and the phone number is (936) 209-4090

This medical organization specializes in Counselor with taxonomy code 101YP2500X with a focus in Professional

This NPI record was last updated on March 02, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.