NPIMap

Organization Active NPI

Stonegate Behavioral Health, P.C.

  • Mental Health Counselor
  • Keller, TX
National Provider Identifier
1457522104
Registry record updated Mar 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
59857 Issued in TX
Legal business name
STONEGATE BEHAVIORAL HEALTH, P.C.
Practice address
4686 Bristol Trace TRL
Keller, TX 76248-6947
Phone
(817) 300-1590
Fax
(817) 656-1243
NPI assigned
Mar 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2008

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

Authorized official

Name
Joe Eastham, LMFT, LPC
Title
Executive Director
Phone
(817) 300-1590

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 59857 TX Primary

Addresses

Primary practice location

4686 Bristol Trace TRL
Keller, TX 76248-6947

Mailing address

4686 Bristol Trace TRL
Keller, TX 76248-6947
Phone (817) 300-1590

Other names 1

  • Joye K. Jones Other name

National Provider Directory

National Provider Directory
Tax ID family
Andre Punch4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1205971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205971200000",
    "number": "1457522104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4686 BRISTOL TRACE TRL",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762486947",
            "telephone_number": "817-300-1590",
            "fax_number": "817-656-1243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4686 BRISTOL TRACE TRL",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762486947",
            "telephone_number": "817-300-1590",
            "fax_number": "817-656-1243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONEGATE BEHAVIORAL HEALTH, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-20",
        "last_updated": "2008-03-20",
        "status": "A",
        "authorized_official_last_name": "EASTHAM",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "817-300-1590",
        "authorized_official_credential": "LMFT, LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "59857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joye K. Jones",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Keller, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; 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.