First Step Denton County Outreach Program, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

5244 Issued in TX

Legal business name

FIRST STEP DENTON COUNTY OUTREACH PROGRAM, LLC

Practice address

1406 N Corinth St Ste 401
Corinth, TX 76208-5449

Phone

(940) 497-5576

Fax

(940) 497-5585

NPI assigned

Mar 3, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Roy Edward Culberson

Title

Executive Director

Phone

(940) 497-5576

Specialties & licenses 12

Addresses

Tax ID family

First Step Denton County Outreach Program LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• First Step Denton County Outreach Program

  • Clinic/Center
  • Denton, TX
  • NPI 1558649996
  NPD tax ID
• First Step Denton County Outreach Program, LLC

  • Local Education Agency (LEA)
  • Denton, TX
  • NPI 1285858878
  NPD tax ID

Locations

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

{
    "created_epoch": "1267574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352073600000",
    "number": "1467775510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 NORTH CORINTH STREET SUITE 401",
            "city": "CORINTH",
            "state": "TX",
            "postal_code": "762085449",
            "telephone_number": "940-497-5576",
            "fax_number": "940-497-5585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 N CORINTH ST STE 401",
            "city": "CORINTH",
            "state": "TX",
            "postal_code": "762085449",
            "telephone_number": "940-497-5576",
            "fax_number": "940-497-5585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST STEP DENTON COUNTY OUTREACH PROGRAM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-03",
        "last_updated": "2012-11-05",
        "status": "A",
        "authorized_official_last_name": "CULBERSON",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "940-497-5576",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "TX",
            "license": "5244",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "5244",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "5244",
            "primary": false
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "5244",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "TX",
            "license": "5244",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": "TX",
            "license": "5244",
            "primary": false
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Rehabilitation",
            "state": "TX",
            "license": "5244",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "TX",
            "license": "5244",
            "primary": false
        },
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "TX",
            "license": "5244",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": "5244",
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "TX",
            "license": "5244",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Endocrine and Oncologic Surgical Associates Inc
• Grace Eubanks, OT
• Gina Irene Farrar, RN
• Fernando a. Vignolo DDS,Ms,PA
• Amanda Lee Field, LPC
• Flourish Counseling & Soul Care Services, LLC
• Holly Forester, LPC
• Carlos David Fuentes, LPC-A
• Functional Imaging of Texas, PA
• Claire Elizabeth Gaither, LPC-ASSOCIATE

• Community/Behavioral Health Agency in Corinth, TX
• Providers in Corinth, TX by specialty
• Community/Behavioral Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; 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.