Sundance Ranch Christian Church

Primary specialty

Pastoral CounselorTaxonomy code 101YP1600X

License

204811419 Issued in FL

Legal business name

SUNDANCE RANCH CHRISTIAN CHURCH

Practice address

390 S Courtenay Pkwy
Merritt Island, FL 32952-4847

Phone

(321) 305-5946

NPI assigned

Jan 14, 2015

Organization subpart

No

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

Authorized official

Name

Terry Lynn Wharton, PHDNPI 1588053623

Title

Executive Director

Phone

(321) 305-5946

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Terry Wharton

  • Pastoral Counselor
  • Merritt Island, FL
  • NPI 1588053623
  NPD (past) Authorized official
• Melissa Weedman, LMHC

  • Pastoral Counselor
  • Merritt Island, FL
  • NPI 1790178572
  NPD (past)

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

{
    "created_epoch": "1421193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421193600000",
    "number": "1487043410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 PINE ISLAND RD",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329536517",
            "telephone_number": "215-559-1184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 S COURTENAY PKWY",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329524847",
            "telephone_number": "321-305-5946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNDANCE RANCH CHRISTIAN CHURCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-14",
        "last_updated": "2015-01-14",
        "status": "A",
        "authorized_official_last_name": "WHARTON",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "321-305-5946",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Pastoral",
            "state": "FL",
            "license": "204811419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elle Strote
• Danica Marie Stroup
• Brett Stroze, D.C.
• David John Strunk, O.D.
• Jill Stutts, PT, ATC
• Surgical Physician Assistants LLC
• Susan C Fair DO PA
• Susan D. Berry, Ma, LMHC, P.a.
• Meghan Susko
• Paulette Swanson, PT

• Pastoral Counselor in Merritt Island, FL
• Providers in Merritt Island, FL by specialty
• Pastoral Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; 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.