Active NPI
New Destinations
- Occupational Therapist
- Tenaha, TX
National Provider Identifier
1235367384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 106894
- 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, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Terrie Mae King, LOT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 20345 | TX | |
| Occupational Therapist | 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 DirectoryPractitioners & 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.
-
- Occupational Therapist
- Tenaha, TX
- NPI 1215249453
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.