Depression Connection for Recovery

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

DEPRESSION CONNECTION FOR RECOVERY

Practice address

3212 Collinsworth St
Suite 3a
Fort Worth, TX 76107-6580

Phone

(817) 810-9599

NPI assigned

May 11, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Thomas Alan Higgs, C.P.S.S.

Title

Certified Peer Support Specialist

Phone

(817) 810-9599

Specialties & licenses 1

Addresses

Other names 1

• depression connection team Former legal business name

Locations

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

{
    "created_epoch": "1462924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462924800000",
    "number": "1477909158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3212 COLLINSWORTH ST",
            "address_2": "SUITE 3A",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761076580",
            "telephone_number": "817-810-9599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3212 COLLINSWORTH ST",
            "address_2": "SUITE 3A",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761076580",
            "telephone_number": "817-810-9599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPRESSION CONNECTION FOR RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-11",
        "last_updated": "2016-05-11",
        "status": "A",
        "authorized_official_last_name": "HIGGS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "CERTIFIED PEER SUPPORT SPECIALIST",
        "authorized_official_telephone_number": "817-810-9599",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.P.S.S."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "depression connection team",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2016; 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.