Organization Active NPI

Kingdom Psychotherapy and Wellness

  • Marriage & Family Therapist
  • New Braunfels, TX
National Provider Identifier
1144642968
Registry record updated Jan 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
202026 Issued in TX
Legal business name
KINGDOM PSYCHOTHERAPY AND WELLNESS
Practice address
1027 Oak Turn
New Braunfels, TX 78132-2663
Phone
(210) 540-3025
Fax
(210) 568-2113
NPI assigned
Jan 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2014

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

Authorized official

Name
Mrs. Shon Maricia Suarez, LMFT, LPC
Title
Licensed Marriage and Family Therap
Phone
(210) 540-3025

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 20148 TX
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 202026 TX Primary

Addresses

Primary practice location

1027 Oak Turn
New Braunfels, TX 78132-2663

Mailing address

18534 Forty-Six Parkway
Suite 4
Spring Branch, TX 78070
Phone (210) 540-3025

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1389657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389657600000",
    "number": "1144642968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18534 FORTY-SIX PARKWAY",
            "address_2": "SUITE 4",
            "city": "SPRING BRANCH",
            "state": "TX",
            "postal_code": "78070",
            "telephone_number": "210-540-3025",
            "fax_number": "210-568-2113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 OAK TURN",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781322663",
            "telephone_number": "210-540-3025",
            "fax_number": "210-568-2113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGDOM PSYCHOTHERAPY AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-14",
        "last_updated": "2014-01-14",
        "status": "A",
        "authorized_official_last_name": "SUAREZ",
        "authorized_official_first_name": "SHON",
        "authorized_official_middle_name": "MARICIA",
        "authorized_official_title_or_position": "LICENSED MARRIAGE AND FAMILY THERAP",
        "authorized_official_telephone_number": "210-540-3025",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "20148",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "202026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.