Xesus House of Prayer, Inc.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

XESUS HOUSE OF PRAYER, INC.

Practice address

300 International Dr Ste 100
Williamsville, NY 14221-5783

Phone

(716) 406-4246

Fax

(716) 463-1698

NPI assigned

Jun 18, 2024

Organization subpart

No

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

Authorized official

Name

Ms. Jerica Jalane Barber, ESQ., LMHC, RNNPI 1063810075

Title

Founder, President, Ceo

Phone

(716) 406-4246

Specialties & licenses 9

Addresses

Other names 1

• Jerica Barber Other name

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Xesus Therapy Services

  • Community/Behavioral Health Agency
  • Williamsville, NY
  • NPI 1619348208
  NPPES parent name

Practitioners 1

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

• Jerica Jalane Barber, LMHC, RN

  • Mental Health Counselor
  • Williamsville, NY
  • NPI 1063810075

  Addiction (Substance Use Disorder)

  NPD Authorized official

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

{
    "created_epoch": "1718668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718668800000",
    "number": "1104669993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 LYNDALE AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142233023",
            "telephone_number": "716-463-1698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 INTERNATIONAL DR STE 100",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215783",
            "telephone_number": "716-406-4246",
            "fax_number": "716-463-1698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XESUS HOUSE OF PRAYER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-18",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A",
        "authorized_official_last_name": "BARBER",
        "authorized_official_first_name": "JERICA",
        "authorized_official_middle_name": "JALANE",
        "authorized_official_title_or_position": "FOUNDER, PRESIDENT, CEO",
        "authorized_official_telephone_number": "716-406-4246",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ESQ., LMHC, RN"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "102X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Poetry Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WC1400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, College Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "173000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jerica Barber",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tiger Wu, M.D.
• Jonathan David Wurstner, D.C.
• Michelle Wynn
• Ralph Wynn, MD
• Amy M Wynne, RN
• Xesus Therapy Services
• Annie Han Xu, OT, LPN
• Molly Yager, LPN
• Kelvin Yam, DPT
• Min Yang, MD

• Mental Health Counselor in Williamsville, NY
• Providers in Williamsville, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; 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.