Trinity Integrative Care, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

TRINITY INTEGRATIVE CARE, LLC

Practice address

12863 County Road 192
Tyler, TX 75703-6417

Phone

(903) 805-0229

NPI assigned

Nov 22, 2019

Last updated

Nov 22, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gary Duke, LPCNPI 1144874207

Title

Director

Phone

(903) 571-6555

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Interoperability endpoints

• Direct secure messaging: information@trinityintegrativecare.org

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gary Duke

  • Professional Counselor
  • Tyler, TX
  • NPI 1144874207
  Authorized official Same address or phone
• Gloria Jeanne Duke, PHD, RN

  • Registered Nurse
  • Tyler, TX
  • NPI 1205407020
  NPD

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

{
    "created_epoch": "1574380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574380800000",
    "number": "1043856289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6117 SUTHERLAND DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757034654",
            "telephone_number": "903-571-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12863 COUNTY ROAD 192",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757036417",
            "telephone_number": "903-805-0229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY INTEGRATIVE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-22",
        "last_updated": "2019-11-22",
        "status": "A",
        "authorized_official_last_name": "DUKE",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "903-571-6555",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Information@TrinityIntegrativeCare.org",
            "affiliation": "N",
            "endpointDescription": "Health Information",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "12863 County Road 192",
            "city": "Tyler",
            "state": "TX",
            "country_code": "US",
            "postal_code": "757036417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Trinity Clinic (Trinity Clinic Family Practice)
• Trinity Clinic (Trinity Clinic Podiatry)
• Trinity Clinic
• Trinity Clinic Surgery
• Trinity Home Health Care Inc.
• Trinity Mobility, LLC (Abide Direct)
• Trinity Pharmacy
• Trinity Physical Medicine and Rehab, PLLC
• Audra Tristan
• Phyllis J Trotter, AU. D./ CCC-A

• Mental Health Clinic/Center (Including Community Mental Health Center) in Tyler, TX
• Providers in Tyler, TX by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.