ROOSEVELT ADAMS JR. (NPI# 1942767355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942767355 |
| Entity Type | Individual |
| Full Name | ROOSEVELT ADAMS JR. |
| Credential | PASTORAL COUNSELOR |
| Practice Address |
1852 Lockhill Selma Rd Ste 108 San Antonio TX 78213-1500 |
| Mailing Address |
Po Box 29735 San Antonio TX 78229-0735 |
| Practice Telephone | 2107890588 |
| Practice Fax Number | 2102719414 |
| Mailing Telephone | 2107890588 |
| Mailing Fax Number | 2102719414 |
| Enumeration Date | 2019-02-22 |
| Last Update Date | 2019-02-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP1600X |
Counselor Specialization: Pastoral |
TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TEXAS DRIVER'S LICENSE | 09203449 | 01 |
| Street Address |
1852 LOCKHILL SELMA RD STE 108 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78213-1500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811463904 | Rebecca Campbell | Registered Nurse | 1852 Lockhill Selma Rd Ste 108, San Antonio, TX 78213-1500 | 2018-10-16 |
| 1992271886 | Alice Medina | Counselor | 1852 Lockhill Selma Rd Ste 108, San Antonio, TX 78213-1500 | 2018-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679198311 | Suzanne Danial | Behavior Technician | Bloom Behavioral and Educational Solutions, 1850 Lockhill Selma Rd #106, San Antonio, TX 78213 | 2020-06-09 |
| 1497314991 | Martha Walch, Phd. | Psychologist | 6800 Park Ten Blvd., Suite 212 North, San Antonio, TX 78213 | 2019-06-08 |
| 1326540816 | Alexus Danielle Tant-quintero | Licensed Vocational Nurse | 1300 Patricia, San Antonio, TX 78213 | 2018-03-01 |
| 1841714672 | San Antonio Endodontics Associates LLC | Dentist | 1110 Nw Loop 410, Suite 515, San Antonio, TX 78213 | 2017-08-02 |
| 1104285022 | West Avenue Dental Partners Pllc | Dentist | 4812 West Avenue, Suite 101, San Antonio, TX 78213 | 2016-02-19 |
| 1568829570 | Stephanie Motes | Counselor | 1919 Nw Loop 410 Ste 201, San Antonio, TX 78213 | 2016-01-21 |
| 1508236506 | Pediatric Home Healthcare, LLC | Home Health | 6800 Park Ten Blvd Ste 140e, San Antonio, TX 78213 | 2015-10-02 |
| 1457775439 | Larry Roberto Dela Cruz | Specialist/Technologist, Other | 218 Mackey Drive, San Antonio, TX 78213 | 2014-02-11 |
| 1437424306 | Kellie Miller | Nurse Practitioner | 2211 Nw Military Highway, 207, Castle Hills, TX 78213 | 2012-03-12 |
| 1619248416 | Karri Ann Lusk | Psychologist | 2161 Nw Military Hwy., Suite 207, San Antonio, TX 78213 | 2012-01-25 |
| Find all providers in zip 78213 | ||||
| Taxonomy Code | 101YP1600X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Pastoral |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013553775 | Nettie Marie Lillard | Counselor | 2419 Rigsby Ave, San Antonio, TX 78222-1014 | 2019-11-18 |
| 1427593201 | Derrick Thomas | Counselor | 11502 Big Mesa Dr, San Antonio, TX 78245-2257 | 2017-01-03 |
| 1710348719 | Felicia Shynett | Counselor | 6212 Encanto Point Dr, San Antonio, TX 78244-2506 | 2016-03-18 |
| 1528425626 | Ayuda Kids | Counselor | 17806 W Ih 10 Ste 300, San Antonio, TX 78257-8222 | 2016-01-20 |
| 1295098721 | Cynthias Assisted Living | Counselor | 2714 Tyne Dr, San Antonio, San Antonio, TX 78222-1224 | 2012-06-19 |
| 1376847434 | Cynthia Colleen Readebrown | Counselor | 5206 Mustang Cv, San Antonio, TX 78244-3537 | 2011-01-04 |
| 1366591497 | John Strange | Counselor | 1222 N. Main Sue 740, San Antonio, TX 78212 | 2007-01-09 |
| 1134751647 | Kenneth A Brown Sr. | Counselor | 5282 Medical Dr Ste 605, San Antonio, TX 78229-6114 | 2020-02-12 |
| 1245890573 | Stephen Kabah | Counselor | 5805 Callaghan Rd, San Antonio, TX 78228-1128 | 2019-06-18 |
| 1962858787 | Hip Healthy Innovative Processes | Counselor | 400 N Loop 1604 E Ste 175, San Antonio, TX 78232-1231 | 2016-05-11 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78213 |
Please comment or provide details below to improve the information on ROOSEVELT ADAMS JR..
| 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.