Organization Active NPI

Lazarus Project Group PLLC

  • Mental Health Counselor
  • Garden Ridge, TX
National Provider Identifier
1306195151
Registry record updated Sep 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
14527 Issued in TX
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, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2012

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-SNPI 1063765246
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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 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 Former legal business name

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.