Jeremiah Counseling Services PLLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

JEREMIAH COUNSELING SERVICES PLLC

Doing business as

Jeremiah Counseling Services PLLC

Practice address

519 Montrose Dr
Rockwall, TX 75087-0760

Phone

(612) 239-2893

NPI assigned

Aug 5, 2022

Organization subpart

No

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

Authorized official

Name

Bretta O Moore, LMFTNPI 1558669903

Title

Sole Owner/Therapist

Phone

(612) 239-2893

Specialties & licenses 1

Addresses

Other names 1

• Jeremiah Counseling Services PLLC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bretta Oe Moore, LMFT

  • Marriage & Family Therapist
  • Dallas, TX
  • NPI 1558669903
  NPD Authorized official

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

{
    "created_epoch": "1659657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659657600000",
    "number": "1255068532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 MONTROSE DR",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750870760",
            "telephone_number": "612-239-2893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 MONTROSE DR",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750870760",
            "telephone_number": "612-239-2893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEREMIAH COUNSELING SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-05",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "BRETTA",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "SOLE OWNER/THERAPIST",
        "authorized_official_telephone_number": "612-239-2893",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jeremiah Counseling Services PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Varlina Iman Jenkins, FNP-C
• Jenna Webster DC LLC
• Jennifer Willis
• Jennifer Jennings, CCC-SLP
• Amy Jensen-Wisetsarakool, M.S.,CCC-SLP
• Joni James Regalado Jimenez
• Luke Jimenez
• Kelly Dianne Jobe, AU.D.
• Julie Podiyamma John
• Ashanti Johnson

• Marriage & Family Therapist in Rockwall, TX
• Providers in Rockwall, TX by specialty
• Marriage & Family Therapist in Texas

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