Active NPI
Soul Bridge Ministry
- Professional Counselor
- Frisco, TX
National Provider Identifier
1336955780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- SOUL BRIDGE MINISTRY
- Practice address
- 6136 Frisco Square Blvd Ste 400
Frisco, TX 75034-3251 - Phone
- (337) 255-2836
- Fax
- (469) 727-5593
- NPI assigned
- Dec 9, 2024
- 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
- Joel Qiao, LPC
- Title
- Board Director
- Phone
- (337) 255-2836
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pastoral Counselor | 101YP1600X | |||
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
6136 Frisco Square Blvd Ste 400
Frisco, TX 75034-3251
Mailing address
4801 Witten Park Way
McKinney, TX 75070-8670
Phone (337) 255-2836
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Dallas, TX
- NPI 1063035509
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733702400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733702400000",
"number": "1336955780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4801 WITTEN PARK WAY",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750708670",
"telephone_number": "337-255-2836",
"fax_number": "469-727-5593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6136 FRISCO SQUARE BLVD STE 400",
"city": "FRISCO",
"state": "TX",
"postal_code": "750343251",
"telephone_number": "337-255-2836",
"fax_number": "469-727-5593"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUL BRIDGE MINISTRY",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-09",
"last_updated": "2024-12-09",
"certification_date": "2024-12-09",
"status": "A",
"authorized_official_last_name": "QIAO",
"authorized_official_first_name": "JOEL",
"authorized_official_title_or_position": "BOARD DIRECTOR",
"authorized_official_telephone_number": "337-255-2836",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YP1600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Pastoral",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.