Organization Active NPI

Regenesis Counseling and Assessment Center

  • Clinical Social Worker
  • Cleburne, TX
National Provider Identifier
1386961837
Registry record updated Apr 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
28460 Issued in TX
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

Updated by the provider on Apr 26, 2011

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.