Organization Active NPI

New Destinations

  • Occupational Therapist
  • Tenaha, TX
National Provider Identifier
1235367384
Registry record updated Jul 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
106894 Issued in TX
Legal business name
NEW DESTINATIONS
Practice address
649 County Road 433
Tenaha, TX 75974-6332
Phone
(936) 248-2322
NPI assigned
Jun 29, 2009
Last updated
Jul 2, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2010

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

Authorized official

Name
Ms. Terrie Mae King, LOTNPI 1407084338
Title
Program Coordinator
Phone
(903) 692-3463

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 20345 TX
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 106894 TX Primary

Addresses

Primary practice location

649 County Road 433
Tenaha, TX 75974-6332

Mailing address

PO Box 1515
Carthage, TX 75633-7515
Phone (936) 248-2322

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1246233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278028800000",
    "number": "1235367384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1515",
            "city": "CARTHAGE",
            "state": "TX",
            "postal_code": "756337515",
            "telephone_number": "936-248-2322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "649 COUNTY ROAD 433",
            "city": "TENAHA",
            "state": "TX",
            "postal_code": "759746332",
            "telephone_number": "936-248-2322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW DESTINATIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-29",
        "last_updated": "2010-07-02",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "TERRIE",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "PROGRAM COORDINATOR",
        "authorized_official_telephone_number": "903-692-3463",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LOT"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "20345",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "106894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tenaha, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2010; 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.