Organization Active NPI

Redemptive Soul Care--a Ministry of Redemption Evangelical Church

  • Community/Behavioral Health Agency
  • Burleson, TX
National Provider Identifier
1245554443
Registry record updated Mar 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
19132 Issued in TX
Legal business name
REDEMPTIVE SOUL CARE--A MINISTRY OF REDEMPTION EVANGELICAL CHURCH
Practice address
621 SW Johnson Ave
Suite C
Burleson, TX 76028-5833
Phone
(817) 426-8150
NPI assigned
Mar 17, 2010
Last updated
Mar 17, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2010

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

Authorized official

Name
Chad Cooke, M.S., LPC
Title
Director
Phone
(817) 426-8150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 19132 TX Primary

Addresses

Primary practice location

621 SW Johnson Ave
Suite C
Burleson, TX 76028-5833

Mailing address

621 SW Johnson Ave
Suite C
Burleson, TX 76028-5833

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1268784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268784000000",
    "number": "1245554443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 SW JOHNSON AVE",
            "address_2": "SUITE C",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760285833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 SW JOHNSON AVE",
            "address_2": "SUITE C",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760285833",
            "telephone_number": "817-426-8150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDEMPTIVE SOUL CARE--A MINISTRY OF REDEMPTION EVANGELICAL CHURCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-17",
        "last_updated": "2010-03-17",
        "status": "A",
        "authorized_official_last_name": "COOKE",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "817-426-8150",
        "authorized_official_credential": "M.S., LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": "19132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burleson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.