Glade Street Baptist Church

Primary specialty

Pastoral CounselorTaxonomy code 101YP1600X

Legal business name

GLADE STREET BAPTIST CHURCH

Doing business as

Core Christian Counseling A Ministry of Glade Street Baptist Church

Practice address

500 W. University Dr.
Suite 112
McKinney, TX 75069

Phone

(972) 480-4516

NPI assigned

Jun 27, 2014

Last updated

Jun 27, 2014By 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

Dr. Michael Leroy Herbert, PHD-COUNSELING/PHD-P

Title

Pastor

Phone

(972) 480-4516

Specialties & licenses 1

Addresses

Other names 1

• Core Christian Counseling A Ministry of Glade Street Baptist Church Doing business as

Locations

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

{
    "created_epoch": "1403827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403827200000",
    "number": "1053726190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W. UNIVERSITY DR.",
            "address_2": "SUITE 112",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "75069",
            "telephone_number": "972-480-4516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W. UNIVERSITY DR.",
            "address_2": "SUITE 112",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "75069",
            "telephone_number": "972-480-4516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLADE STREET BAPTIST CHURCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-27",
        "last_updated": "2014-06-27",
        "status": "A",
        "authorized_official_last_name": "HERBERT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "LEROY",
        "authorized_official_title_or_position": "PASTOR",
        "authorized_official_telephone_number": "972-480-4516",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD-COUNSELING/PHD-P"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Core Christian Counseling A Ministry of Glade Street Baptist Church",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pastoral Counselor in McKinney, TX
• Providers in McKinney, TX by specialty
• Pastoral Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2014; 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.