Sacred Trust Christian Counseling

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

121001 Issued in OH

Legal business name

SACRED TRUST CHRISTIAN COUNSELING

Practice address

1720 Simms St
Conway, AR 72034-6416

Phone

(800) 395-4564

Fax

(410) 449-6336

NPI assigned

Jun 4, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Casondra Renee Robinson, PHD, THDNPI 1598257701

Title

Ceo

Phone

(800) 395-4564

Specialties & licenses 2

Addresses

Practitioners 1

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

• Casondra R Robinson, PHD

  • Professional Counselor
  • Conway, AR
  • NPI 1598257701
  NPD (past) Authorized official

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

{
    "created_epoch": "1528070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528070400000",
    "number": "1326530585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2431",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720332431",
            "telephone_number": "800-395-4564",
            "fax_number": "410-449-6336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 SIMMS ST",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720346416",
            "telephone_number": "800-395-4564",
            "fax_number": "410-449-6336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED TRUST CHRISTIAN COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-04",
        "last_updated": "2018-06-04",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "CASONDRA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "800-395-4564",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, THD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "121001",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "OH",
            "license": "121001",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Dewayne Russell
• Shelley W Russell, M.D.
• Sammye B Ryals, DAY TREATMENT SUPERV
• Ahmad Haythem Saadeh, MD
• Nicholas J Sachse, OD
• Kara Aspen Sain
• Saint-Mark Enterprises 1890 LLC (Medicine Shoppe)
• Saint-Mark Enterprises 1906 LLC (Medicine Shoppe)
• Ryan Salami, CMP
• Madison Grace Salazar

• Community/Behavioral Health Agency in Conway, AR
• Providers in Conway, AR by specialty
• Community/Behavioral Health Agency in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2018; 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.