Active NPI
Lazarus Project Group PLLC
- Mental Health Counselor
- Garden Ridge, TX
National Provider Identifier
1306195151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 14527
- Legal business name
- LAZARUS PROJECT GROUP PLLC
- Practice address
- 19185 FM 2252
Garden Ridge, TX 78266-2574 - Phone
- (210) 859-5446
- NPI assigned
- Sep 6, 2012
- Last updated
- Sep 6, 2012
- 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
- Mr. Rolla Merle Bradley Jr., LPC-S
- Title
- Counselor - Owner
- Phone
- (210) 859-5446
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 14527 | TX | Primary |
Addresses
Primary practice location
19185 FM 2252
Garden Ridge, TX 78266-2574
Mailing address
9352 Osage Cir
Garden Ridge, TX 78266-2060
Phone (210) 859-5446
Other names 1
- Lazarus Project Group PLLC
National Provider Directory
National Provider DirectoryLocations
19185 FM 2252
Garden Ridge, TX 78266
Phone (210) 859-5446
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.
-
- Mental Health Counselor
- Garden Ridge, TX
- NPI 1679811269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346889600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1346889600000",
"number": "1306195151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9352 OSAGE CIR",
"city": "GARDEN RIDGE",
"state": "TX",
"postal_code": "782662060",
"telephone_number": "210-859-5446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19185 FM 2252",
"city": "GARDEN RIDGE",
"state": "TX",
"postal_code": "782662574",
"telephone_number": "210-859-5446"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAZARUS PROJECT GROUP PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-09-06",
"last_updated": "2012-09-06",
"status": "A",
"authorized_official_last_name": "BRADLEY",
"authorized_official_first_name": "ROLLA",
"authorized_official_middle_name": "MERLE",
"authorized_official_title_or_position": "COUNSELOR - OWNER",
"authorized_official_telephone_number": "210-859-5446",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "LPC-S"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "14527",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Lazarus Project Group PLLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Garden Ridge, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.