Active NPI
Regenesis Counseling and Assessment Center
- Clinical Social Worker
- Cleburne, TX
National Provider Identifier
1386961837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 28460
- Legal business name
- REGENESIS COUNSELING AND ASSESSMENT CENTER
- Practice address
- 906 W Henderson St
Cleburne, TX 76033-4836 - Phone
- (817) 264-6194
- Fax
- (866) 372-7985
- NPI assigned
- Apr 23, 2010
- 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
- Mr. Kenneth Jones, LCSW
- Title
- Ceo
- Phone
- (817) 714-6809
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 28460 | TX | Primary |
Addresses
Primary practice location
906 W Henderson St
Cleburne, TX 76033-4836
Mailing address
PO Box 703
Keene, TX 76059-0703
Phone (817) 714-6809
National Provider Directory
National Provider DirectoryLocations
121 S Westmeadow Dr
#200
Cleburne, TX 76033
Phone (817) 264-6194
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Plano, TX
- NPI 1528028032
-
- Clinical Social Worker
- Arlington, TX
- NPI 1770636607
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271980800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1303776000000",
"number": "1386961837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 703",
"city": "KEENE",
"state": "TX",
"postal_code": "760590703",
"telephone_number": "817-714-6809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "906 W HENDERSON ST",
"city": "CLEBURNE",
"state": "TX",
"postal_code": "760334836",
"telephone_number": "817-264-6194",
"fax_number": "866-372-7985"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REGENESIS COUNSELING AND ASSESSMENT CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2010-04-23",
"last_updated": "2011-04-26",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "KENNETH",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "817-714-6809",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "28460",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cleburne, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.