Organization Active NPI

Partner With Agape

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Plano, TX
National Provider Identifier
1164036299
Registry record updated Jun 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
PARTNER WITH AGAPE
Practice address
5805 Coit Rd Ste 402
Plano, TX 75093-6990
Phone
(443) 525-2070
NPI assigned
Sep 5, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2022

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

Authorized official

Name
Claire Ngwa
Title
Administration
Phone
(443) 525-2070

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Adult Mental Health Clinic/Center 261QM0850X

Addresses

Primary practice location

5805 Coit Rd Ste 402
Plano, TX 75093-6990

Mailing address

5805 Coit Rd Ste 402
Plano, TX 75093-6990

Other identifiers 1

IdentifierTypeStateIssuer
1578195657MedicaidTX

National Provider Directory

National Provider Directory

Locations

5805 Coit Rd
Ste 402
Plano, TX 75093
Phone (443) 525-2070

NPI Registry JSON

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

{
    "created_epoch": "1599264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654387200000",
    "number": "1164036299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5805 COIT RD STE 402",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750936990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5805 COIT RD STE 402",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750936990",
            "telephone_number": "443-525-2070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARTNER WITH AGAPE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-05",
        "last_updated": "2022-06-05",
        "certification_date": "2022-06-05",
        "status": "A",
        "authorized_official_last_name": "NGWA",
        "authorized_official_first_name": "CLAIRE",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "443-525-2070"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578195657",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2022; 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.