Active NPI
Golden Heart Therapy
- Professional Counselor
- Waco, TX
National Provider Identifier
1639728710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- GOLDEN HEART THERAPY
- Practice address
- 4555 Lake Shore Dr Ste B
Waco, TX 76710-1814 - Phone
- (254) 836-2195
- NPI assigned
- Sep 10, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Anastasia Jewel Moye
- Title
- Owner
- Phone
- (254) 716-2195
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
4555 Lake Shore Dr Ste B
Waco, TX 76710-1814
Mailing address
4555 Lake Shore Dr Ste B
Waco, TX 76710-1814
Phone (254) 836-2195
National Provider Directory
National Provider DirectoryLocations
4555 Lake Shore Dr
Ste B
Waco, TX 76710
Phone (254) 214-2334
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568073600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1568073600000",
"number": "1639728710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4555 LAKE SHORE DR STE B",
"city": "WACO",
"state": "TX",
"postal_code": "767101814",
"telephone_number": "254-836-2195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4555 LAKE SHORE DR STE B",
"city": "WACO",
"state": "TX",
"postal_code": "767101814",
"telephone_number": "254-836-2195"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOLDEN HEART THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-10",
"last_updated": "2019-09-10",
"status": "A",
"authorized_official_last_name": "MOYE",
"authorized_official_first_name": "ANASTASIA",
"authorized_official_middle_name": "JEWEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "254-716-2195",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.