NPIMap

Organization Active NPI

Doulos Ministries, Inc.

Doing business as Shelterwood

  • Community/Behavioral Health Agency
  • Independence, MO
National Provider Identifier
1659762912
Registry record updated Feb 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
000139979 Issued in MO
Legal business name
DOULOS MINISTRIES, INC.
Doing business as
Shelterwood
Practice address
3205 N Twyman Rd
Independence, MO 64058-3211
Phone
(816) 249-5350
NPI assigned
Feb 9, 2015
Organization subpart
Yes
Parent organization
DOULOS MINISTRIES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 9, 2015

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

Authorized official

Name
Ryan Frederick, LPC
Title
Assistant Director
Phone
(816) 249-5350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 000139979 MO Primary

Addresses

Primary practice location

3205 N Twyman Rd
Independence, MO 64058-3211

Mailing address

3205 N Twyman Rd
Independence, MO 64058-3211
Phone (816) 249-5350

Other names 1

  • Shelterwood Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Doulos Ministries Inc3 organizations share this tax ID, including this one
Part of
Doulos Ministries Inc

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1423440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423440000000",
    "number": "1659762912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3205 N TWYMAN RD",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640583211",
            "telephone_number": "816-249-5350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3205 N TWYMAN RD",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640583211",
            "telephone_number": "816-249-5350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOULOS MINISTRIES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DOULOS MINISTRIES, INC.",
        "enumeration_date": "2015-02-09",
        "last_updated": "2015-02-09",
        "status": "A",
        "authorized_official_last_name": "FREDERICK",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "ASSISTANT DIRECTOR",
        "authorized_official_telephone_number": "816-249-5350",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MO",
            "license": "000139979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shelterwood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Independence, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.