Organization Active NPI

Conceivable Resolutions PLLC

  • Adult Mental Health Clinic/Center
  • San Antonio, TX
National Provider Identifier
1407349137
Registry record updated Jun 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
CONCEIVABLE RESOLUTIONS PLLC
Practice address
212 Chestnut St Ste 2
San Antonio, TX 78202-2720
Phone
(210) 288-1835
Fax
(210) 932-9891
NPI assigned
Jun 7, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2018

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

Authorized official

Name
Mr. Kenneth Edward Goodrum, LPC, LCDC, CART
Title
LPC
Phone
(210) 288-1835

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

212 Chestnut St Ste 2
San Antonio, TX 78202-2720

Mailing address

212 Chestnut St Ste 2
San Antonio, TX 78202-2720
Phone (210) 288-1835

National Provider Directory

National Provider Directory

Locations

212 Chestnut St
Ste 2
San Antonio, TX 78202
Phone (210) 288-1835

NPI Registry JSON

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

{
    "created_epoch": "1528329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528329600000",
    "number": "1407349137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 CHESTNUT ST STE 2",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782022720",
            "telephone_number": "210-288-1835",
            "fax_number": "210-932-9891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 CHESTNUT ST STE 2",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782022720",
            "telephone_number": "210-288-1835",
            "fax_number": "210-932-9891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCEIVABLE RESOLUTIONS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-07",
        "last_updated": "2018-06-07",
        "status": "A",
        "authorized_official_last_name": "GOODRUM",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "LPC",
        "authorized_official_telephone_number": "210-288-1835",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC, LCDC, CART"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 7, 2018; 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.