Agasa Creatve Arts Therapy LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

AGASA CREATVE ARTS THERAPY LLC

Doing business as

Agasa Therapy

Practice address

5338 Kiamesha Way
Mesquite, TX 75150-1008

Phone

(480) 510-3117

NPI assigned

May 14, 2022

Last updated

May 14, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Keita Onuma, MA, THM, MT-BC, LPCNPI 1134861214

Title

Managing Member

Phone

(480) 510-3117

Specialties & licenses 1

Addresses

Other names 1

• AGASA THERAPY Doing business as

Practitioners 1

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.

• Keita Onuma, MA, THM, MT-BC, LPC

  • Professional Counselor
  • Mesquite, TX
  • NPI 1134861214
  NPD Authorized official

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

{
    "created_epoch": "1652486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652486400000",
    "number": "1275270993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5338 KIAMESHA WAY",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751501008",
            "telephone_number": "480-510-3117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5338 KIAMESHA WAY",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751501008",
            "telephone_number": "480-510-3117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGASA CREATVE ARTS THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-14",
        "last_updated": "2022-05-14",
        "certification_date": "2022-05-14",
        "status": "A",
        "authorized_official_last_name": "ONUMA",
        "authorized_official_first_name": "KEITA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "480-510-3117",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA, THM, MT-BC, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AGASA THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Professional Counselor in Mesquite, TX
• Providers in Mesquite, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.