PEACEFUL REVOLUTION LLC (NPI# 1396392924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396392924 |
| Entity Type | Organization |
| Organization Name | PEACEFUL REVOLUTION LLC |
| Other Organization Name | OWN YOUR COLORS COUNSELING |
| Practice Address |
4414 Centerview Ste 273 San Antonio TX 78228-1405 |
| Practice Telephone | 2107647767 |
| Practice Fax Number | 2107647767 |
| Mailing Telephone | 2107647767 |
| Mailing Fax Number | 2107647767 |
| Enumeration Date | 2019-08-19 |
| Last Update Date | 2020-05-09 |
| Authorized Official Name | MS. NATALIE JEAN BURTENSHAW (THERAPIST AND BUSINESS OWNER) |
| Authorized Official Telephone | 2107647767 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Own Your Colors Counseling | Doing Business As Name - Organization |
| Street Address |
4414 CENTERVIEW STE 273 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78228-1405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770069957 | Lucia Cobb | Counselor | 4414 Centerview Ste 273, San Antonio, TX 78228-1405 | 2018-07-11 |
| 1699374033 | Sharpening Your Arrow Pllc | Community/Behavioral Health | 4414 Centerview Ste 273, San Antonio, TX 78228-1405 | 2020-10-17 |
| 1811511751 | Center Yourself Therapy, Pllc | Clinic/Center | 4414 Centerview Ste 273, San Antonio, TX 78228-1405 | 2020-06-06 |
| 1689297939 | Courtney Jewett | Counselor | 4414 Centerview Ste 273, San Antonio, TX 78228-1405 | 2020-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770064206 | Isabel Cristina Moreno | Licensed Vocational Nurse | 5419 Shivalik Way, San Antonio, TX 78228 | 2018-08-23 |
| 1053846097 | Miguel Angel Hernandez | Counselor | 3615 Culebra Road, San Antonio, TX 78228 | 2017-04-27 |
| 1841724424 | Amber Fragoso | Specialist/Technologist | 1 Camino Sanata Maria, San Antonio, TX 78228 | 2017-04-20 |
| 1184175937 | John Amundson IIi | Counselor | 4243 E Piedras Dr # 100, San Antonio, TX 78228 | 2016-10-17 |
| 1215487475 | Compassus Op of Texas LLC | Hospice Care, Community Based | 4242 E Piedras Dr, Suite 200, San Antonio, TX 78228 | 2016-10-11 |
| 1407220130 | Jessica Marie Hernandez-benavidez | Counselor | 2939 W. Woodlawn, Buidling 2, San Antonio, TX 78228 | 2015-11-18 |
| 1720494214 | Early Trail Inc | Assisted Living Facility | 322 Early Trail, San Antonio, TX 78228 | 2014-07-07 |
| 1992117717 | R A Alvarado Medical Pllc | Pain Medicine | 4100 E Piedras Dr Ste 165, San Antonio, TX 78228 | 2014-05-28 |
| 1447681606 | Smile Kings Bandera, Pllc | Dentist | 919 Bandera Rd. Ste 101, San Antonio, TX 78228 | 2013-12-12 |
| 1811230345 | Gwendolyn Holland | Registered Nurse | 5310 Arrowhead Dr, San Antonio, TX 78228 | 2013-04-03 |
| Find all providers in zip 78228 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659970390 | Maggie A Clifford Counseling, Pllc | Social Worker | 8443 Lavenham, San Antonio, TX 78254-2465 | 2020-10-23 |
| 1336756378 | Deborah Toscano | Social Worker | 14 Moondance Hl, San Antonio, TX 78254-2543 | 2020-09-24 |
| 1154938009 | Caitlin Gamez | Social Worker | 1118 Button Bush, San Antonio, TX 78260-6816 | 2020-09-24 |
| 1669089769 | Elizabeth Dierker | Social Worker | 3322 Battlecry, San Antonio, TX 78245-4672 | 2020-09-23 |
| 1952915977 | Alicia Nielson | Social Worker | 8637 Fredericksburg Rd Ste 100, San Antonio, TX 78240-1283 | 2020-09-08 |
| 1629682109 | Stephanie Jessica Gomez | Social Worker | 8219 Prickly Oak, San Antonio, TX 78223-4596 | 2020-09-02 |
| 1073127692 | Lucinda Geeslin | Social Worker | Oak Hills Church Care and Growth Center, 6929 Camp Bullis Road, San Antonio, TX 78256 | 2020-09-01 |
| 1952912776 | Cherrelle Latrice Barton | Social Worker | 11759 Deer Ml, San Antonio, TX 78254-4471 | 2020-08-14 |
| 1982215760 | Alessandra Mantzey | Social Worker | 15919 Colton Wl, San Antonio, TX 78247-5930 | 2020-08-13 |
| 1578173480 | Stephanie Pargas | Social Worker | 6023 Akin Cir, San Antonio, TX 78261-4507 | 2020-08-05 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78228 |
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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.