Xesus Therapy Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LMHC 006357;RN537485 Issued in NY

Legal business name

XESUS THERAPY SERVICES

Practice address

300 International Dr
Suite 117
Williamsville, NY 14221-5781

Phone

(585) 343-1681

Fax

(120) 836-1866

NPI assigned

Oct 8, 2015

Organization subpart

Yes

Parent organization

XESUS HOUSE OF PRAYER, INC.As reported in NPPES

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

Authorized official

Name

Mrs. Jerica Jalane Barber, LMHC, RNNPI 1063810075

Title

Ceo, Board Director

Phone

(585) 343-1681

Specialties & licenses 2

Addresses

Other names 1

• Xesus House of Prayer, Inc. Other name

Part of

Xesus House of Prayer Inc

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Xesus House of Prayer, Inc.

  • Mental Health Counselor
  • Williamsville, NY
  • NPI 1104669993
  NPPES parent name

Practitioners 1

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

• Jerica Jalane Barber, LMHC, RN

  • Mental Health Counselor
  • Williamsville, NY
  • NPI 1063810075
  NPD (past) Authorized official

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

{
    "created_epoch": "1444262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444262400000",
    "number": "1619348208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 INTERNATIONAL DR",
            "address_2": "SUITE 117",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215781",
            "telephone_number": "585-343-1681",
            "fax_number": "120-836-1866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 INTERNATIONAL DR",
            "address_2": "SUITE 117",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215781",
            "telephone_number": "585-343-1681",
            "fax_number": "120-836-1866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XESUS THERAPY SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "XESUS HOUSE OF PRAYER, INC.",
        "enumeration_date": "2015-10-08",
        "last_updated": "2015-10-08",
        "status": "A",
        "authorized_official_last_name": "BARBER",
        "authorized_official_first_name": "JERICA",
        "authorized_official_middle_name": "JALANE",
        "authorized_official_title_or_position": "CEO, BOARD DIRECTOR",
        "authorized_official_telephone_number": "585-343-1681",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC, RN"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "LMHC 006357;RN537485",
            "primary": true
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NY",
            "license": "LMHC 006357;RN537485",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Xesus House of Prayer, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jonathan David Wurstner, D.C.
• Michelle Wynn
• Ralph Wynn, MD
• Amy M Wynne, RN
• Xesus House of Prayer, Inc.
• Annie Han Xu, OT, LPN
• Molly Yager, LPN
• Kelvin Yam, DPT
• Min Yang, MD
• Donald Yates, R.N.

• Community/Behavioral Health Agency in Williamsville, NY
• Providers in Williamsville, NY by specialty
• Community/Behavioral Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.