Organization Active NPI

Leaning Red Oak, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lubbock, TX
National Provider Identifier
1417448770
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
62246 Issued in TX
Legal business name
LEANING RED OAK, LLC
Practice address
3305 66TH St Ste 5
Lubbock, TX 79413-5736
Phone
(806) 791-1800
Fax
(806) 791-1801
NPI assigned
May 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

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

Authorized official

Name
Kristin G Swoap, MED, LPC, NCCNPI 1497022818
Title
Owner
Phone
(806) 791-1800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 62246 TX Primary
Adult Mental Health Clinic/Center 261QM0850X 62246 TX
Adolescent and Children Mental Health Clinic/Center 261QM0855X 62246 TX

Addresses

Primary practice location

3305 66TH St Ste 5
Lubbock, TX 79413-5736

Mailing address

3305 66TH St Ste 5
Lubbock, TX 79413-5736
Phone (806) 791-1800

National Provider Directory

National Provider Directory

Locations

3305 66th St
Ste 5
Lubbock, TX 79413
Phone (806) 791-1800

Practitioners & affiliated clinicians

Practitioners 1

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": "1526947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603843200000",
    "number": "1417448770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3305 66TH ST STE 5",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794135736",
            "telephone_number": "806-791-1800",
            "fax_number": "806-791-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3305 66TH ST STE 5",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794135736",
            "telephone_number": "806-791-1800",
            "fax_number": "806-791-1801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEANING RED OAK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-22",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A",
        "authorized_official_last_name": "SWOAP",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-791-1800",
        "authorized_official_credential": "MED, LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "TX",
            "license": "62246",
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "TX",
            "license": "62246",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "TX",
            "license": "62246",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; 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.