Providential Refuge Counseling PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PROVIDENTIAL REFUGE COUNSELING PLLC

Practice address

17460 Interstate 35 N # 430-511
Schertz, TX 78154-1243

Phone

(210) 501-8200

Fax

(210) 598-1910

NPI assigned

May 22, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Deanne AckerNPI 1891350591

Title

LCSW

Phone

(210) 501-8200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Deanne M Acker

  • Clinical Social Worker
  • Universal City, TX
  • NPI 1891350591
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684713600000",
    "number": "1013609734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17460 INTERSTATE 35 N # 430-511",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781541243",
            "telephone_number": "210-501-8200",
            "fax_number": "210-598-1910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17460 INTERSTATE 35 N # 430-511",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781541243",
            "telephone_number": "210-501-8200",
            "fax_number": "210-598-1910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENTIAL REFUGE COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A",
        "authorized_official_last_name": "ACKER",
        "authorized_official_first_name": "DEANNE",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "210-501-8200"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James P Prince, PT, DPT
• Alana Pringle
• Alexis Pritchett
• Pro Care Schertz LLC
• Procare Emergency Physicians Schertz PLLC
• Kimber-Lea Raef, LPC, NCC
• Douglas Robert Rakers
• Bellur S Ramanath, MD
• Angela Ramirez
• Christian Ramirez

• Clinical Social Worker in Schertz, TX
• Providers in Schertz, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.