Organization Active NPI

Missionaries to Ministers, Inc.

  • Pastoral Counselor
  • San Jose, CA
National Provider Identifier
1396480638
Registry record updated May 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pastoral CounselorTaxonomy code 101YP1600X
Legal business name
MISSIONARIES TO MINISTERS, INC.
Practice address
1101 S Winchester Blvd Ste H187
San Jose, CA 95128-3903
Phone
(408) 890-6306
Fax
(408) 890-6246
NPI assigned
May 2, 2022
Last updated
May 2, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2022

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

Authorized official

Name
Mr. Tracy Shane Couch, MA
Title
President/Co-Founder
Phone
(408) 890-6306

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral Counselor 101YP1600X NU Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU

Addresses

Primary practice location

1101 S Winchester Blvd Ste H187
San Jose, CA 95128-3903

Mailing address

1101 S Winchester Blvd Ste H187
San Jose, CA 95128-3903
Phone (408) 890-6306

Other names 1

  • M2M, Inc. Other name

National Provider Directory

National Provider Directory

Locations

1101 S Winchester Blvd
Ste H187
San Jose, CA 95128
Phone (408) 890-6306

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1651449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651449600000",
    "number": "1396480638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 S WINCHESTER BLVD STE H187",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951283903",
            "telephone_number": "408-890-6306",
            "fax_number": "408-890-6246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 S WINCHESTER BLVD STE H187",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951283903",
            "telephone_number": "408-890-6306",
            "fax_number": "408-890-6246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSIONARIES TO MINISTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-02",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A",
        "authorized_official_last_name": "COUCH",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "SHANE",
        "authorized_official_title_or_position": "PRESIDENT/CO-FOUNDER",
        "authorized_official_telephone_number": "408-890-6306",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "M2M, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; 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.