Organization Active NPI

Deborah Judith Inc.

  • Addiction (Substance Use Disorder) Counselor
  • San Antonio, TX
National Provider Identifier
1356573679
Registry record updated Aug 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1823 Issued in TX
Legal business name
DEBORAH JUDITH INC.
Practice address
410 S Main
Ste 201
San Antonio, TX 78204-1128
Phone
(210) 822-9493
Fax
(210) 822-8733
NPI assigned
Aug 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2009

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

Authorized official

Name
Mr. Deborah Johnson, RN BS LCDC
Title
Executive Director
Phone
(210) 822-9493

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X 1823 TX Primary

Addresses

Primary practice location

410 S Main
Ste 201
San Antonio, TX 78204-1128

Mailing address

410 S Main
Ste 201
San Antonio, TX 78204-1128
Phone (210) 822-9493

Other names 1

  • Elite Counseling Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Deborah Judith Inc2 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.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250726400000",
    "number": "1356573679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 S MAIN",
            "address_2": "STE 201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782041128",
            "telephone_number": "210-822-9493",
            "fax_number": "210-822-8733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 S MAIN",
            "address_2": "STE 201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782041128",
            "telephone_number": "210-822-9493",
            "fax_number": "210-822-8733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBORAH JUDITH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-20",
        "last_updated": "2009-08-20",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "210-822-9493",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN BS LCDC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "1823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2009; 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.