Praise Assemby

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

2008032814 Issued in MO

Legal business name

PRAISE ASSEMBY

Doing business as

Safe Arbor Counseling Center

Practice address

2032 E Kearney St Ste 214
Springfield, MO 65803-4662

Phone

(417) 833-8300

NPI assigned

Nov 13, 2008

Last updated

Nov 13, 2008By 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. Tim Lyons, MA.

Title

LPC

Phone

(417) 833-8300

Specialties & licenses 2

Addresses

Other names 1

• Safe Arbor Counseling Center Doing business as

Tax ID family

General Council of the Assemblies of God2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Safe Harbor Counseling Center

  • Psychologist
  • Springfield, MO
  • NPI 1164587002
  NPD tax ID

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.

• Thomas Jay Stanfield, MA, LMHC

  • Mental Health Counselor
  • Cedar Falls, IA
  • NPI 1396949814
  NPD (past)

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

{
    "created_epoch": "1226534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226534400000",
    "number": "1336393669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 W HARRISON ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658025756",
            "telephone_number": "417-619-8921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2032 E KEARNEY ST STE 214",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658034662",
            "telephone_number": "417-833-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAISE ASSEMBY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-13",
        "last_updated": "2008-11-13",
        "status": "A",
        "authorized_official_last_name": "LYONS",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "LPC",
        "authorized_official_telephone_number": "417-833-8300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MO",
            "license": "2008032814",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MO",
            "license": "2008032814",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Safe Arbor Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Annie E Powers, PSYD
• Bradley Powers, PSYD, LP
• Donna Renee Powers
• Vincenzo Giuseppe Pozzie, MS
• Matthew David Praechter, PHARM.D
• Kimberley Prater, M.D.
• Thomas G Prater, M.D.
• John Precise, PT
• Preferred Family Healthcare
• Preferred Family Healthcare

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Springfield, MO
• Providers in Springfield, MO by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2008; 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.