NPIMap

Organization Active NPI

Revelations Counseling Center

  • Clinical Social Worker
  • Cedar Hill, TX
National Provider Identifier
1093082844
Registry record updated Nov 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
06621 Issued in TX
Legal business name
REVELATIONS COUNSELING CENTER
Practice address
128 Lofton St
Ste. 300
Cedar Hill, TX 75104-2198
Phone
(972) 293-7100
NPI assigned
Nov 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2011

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

Authorized official

Name
Ms. Sandra E Jones, LCSW
Title
Advanced Clinical Practitioner
Phone
(972) 293-7100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 06621 TX Primary

Addresses

Primary practice location

128 Lofton St
Ste. 300
Cedar Hill, TX 75104-2198

Mailing address

128 Lofton St
Ste. 300
Cedar Hill, TX 75104-2198

National Provider Directory

National Provider Directory

Locations

128 Lofton St
Ste 300
Cedar Hill, TX 75104
Phone (972) 293-7100

NPI Registry JSON

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

{
    "created_epoch": "1321920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321920000000",
    "number": "1093082844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 LOFTON ST",
            "address_2": "STE. 300",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751042198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 LOFTON ST",
            "address_2": "STE. 300",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751042198",
            "telephone_number": "972-293-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVELATIONS COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-22",
        "last_updated": "2011-11-22",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ADVANCED CLINICAL PRACTITIONER",
        "authorized_official_telephone_number": "972-293-7100",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "06621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Hill, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; 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.