ST JOSEPH COUNSELING & REHABILITATION SERVICES, INC (NPI# 1710251012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710251012 |
Entity Type | Organization |
Organization Name | ST JOSEPH COUNSELING & REHABILITATION SERVICES, INC |
Practice Address |
3334 S Sw Loop 323 Suite 108 Tyler TX 75701-9237 |
Practice Telephone | 9035817973 |
Practice Fax Number | 9035816605 |
Mailing Telephone | 9035817973 |
Mailing Fax Number | 9035816605 |
Enumeration Date | 2012-03-05 |
Last Update Date | 2012-04-16 |
Authorized Official Name | KEN A CHINWEZE (ADMINISTRATOR) |
Authorized Official Telephone | 9035817973 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
N | 103TR0400X |
Psychologist Specialization: Rehabilitation |
Behavioral Health & Social Service Providers | ||
Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
LA | 1194941518 | 05 |
Street Address |
3334 S SW LOOP 323 SUITE 108 |
City | TYLER |
State | TX |
Zip Code | 75701-9237 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962057059 | Gonzalo Fernandez | Physical Therapy Assistant | 753 S Beckham Ave, Tyler, TX 75701 | 2019-08-06 |
1215422654 | Adrianna Bussell | Nurse Practitioner | 1000 South Beckham, Tyler, TX 75701 | 2018-06-28 |
1285128017 | Idowu Akintokunbo Akinyele | Dentist | Aspen Dental, 4164 S Broadway Ave, Tyler, TX 75701 | 2018-06-15 |
1992208912 | Heather Renee Vancleave | Occupational Therapy Assistant | 1228 Louann Lane, Tyler, TX 75701 | 2018-03-15 |
1497260533 | Smile Workshop Mckinney, Pllc | Dentist | 301 N. Custer Rd, Mckinney, TX 75701 | 2017-12-12 |
1396266441 | Eye Surgery Center of East Texas, Pllc | Clinic/Center | 2448 E 5th St, Tyler, TX 75701 | 2017-06-29 |
1962936369 | Collins Complete Family Care | Nurse Practitioner | 1910 E Se Loop 323 # 176, Tyler, TX 75701 | 2017-04-12 |
1386187052 | Fellowship Health Team LLC | Home Health | 1124 S Fleishel Ave, Tyler, TX 75701 | 2016-11-29 |
1205382454 | Brenton Robinson | Nurse Practitioner | 1100 East Lake St, 160, Tyler, TX 75701 | 2016-08-28 |
1851846208 | Care First Pharmacy, LLC | Pharmacy | 1910 Roseland Blvd A, Tyler, TX 75701 | 2016-08-15 |
Find all providers in zip 75701 |
Taxonomy Code | 101Y00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760956130 | Keely Burks | Counselor | 1698 W Grande Blvd, Tyler, TX 75703-4426 | 2019-01-17 |
1396109294 | Amy Furqueron | Counselor | 2003 Rickety Ln Ste E, Tyler, TX 75703-1704 | 2016-04-07 |
1366809287 | Anita Smith X | Counselor | 1817 Wsw Loop 323, Tyler, TX 75701-8426 | 2016-01-22 |
1053734129 | Raymond Perales Martinez | Counselor | 3919 Belle Mere St, Tyler, TX 75701-6704 | 2014-01-27 |
1942571153 | Crystal Duane Johnson | Counselor | 401 E Front Street, Suite 139, Tyler, TX 75701-1608 | 2012-01-19 |
1417565110 | Rachel Renee Spurgeon | Counselor | 120 W 5th St Ste 105, Tyler, TX 75701-4053 | 2020-07-20 |
1962020412 | Denise N Hazen | Counselor | 3800 Paluxy Dr Ste 240, Tyler, TX 75703-1667 | 2020-07-10 |
1275003410 | Molly Moore | Counselor | 7925 S Broadway Ave Ste 820, Tyler, TX 75703-5255 | 2018-11-30 |
1801385653 | Margaret Elaine Eckhardt | Counselor | 218 N College Ave, Tyler, TX 75702-5715 | 2018-05-08 |
1609267962 | Janus Children Services Inc | Counselor | 3800 Paluxy Dr, Suite 150, Tyler, TX 75703-1629 | 2015-02-09 |
Find all providers in TYLER |
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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.