Kingdom Outreach Center of San Antonio, TX

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

KINGDOM OUTREACH CENTER OF SAN ANTONIO, TX

Practice address

Kingdom Out Reach Center of San Antonio
3819 Naco Perrin Blvd #118
San Antonio, TX 78217

Phone

(210) 687-9715

NPI assigned

Feb 12, 2020

Organization subpart

No

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

Authorized official

Name

Kenneth Brown, LCPCNPI 1134751647

Title

Lead Consultant

Phone

(210) 687-9715

Specialties & licenses 1

Addresses

Practitioners 1

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

• Kenneth A Brown Sr.

  • Pastoral Counselor
  • San Antonio, TX
  • NPI 1134751647
  NPD Authorized official

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581465600000",
    "number": "1699307173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6027 RED ROSE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782444431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "KINGDOM OUT REACH CENTER OF SAN ANTONIO",
            "address_2": "3819 NACO PERRIN BLVD #118",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78217",
            "telephone_number": "210-687-9715"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5282 Medical Dr Ste 605",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782296114",
            "country_code": "US",
            "telephone_number": "210-271-3630",
            "fax_number": "210-444-2171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KINGDOM OUTREACH CENTER OF SAN ANTONIO, TX",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-12",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "LEAD CONSULTANT",
        "authorized_official_telephone_number": "210-687-9715",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Van King, M.D.
• Vanessa King, FNP
• Victorio Loren King
• Kingdom Healing Institute
• Kingdom of Heaven Hospice LLC
• Nisha Kinger, FNP-C
• Thomas A Kingman, M.D.
• Brittany Dawn Kingsbury, LCSW
• Diane Kingseed
• Christina Kingsley, LPC

• Counselor in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; 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.