St Joseph Counseling & Rehabilitation Services, Inc

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

ST JOSEPH COUNSELING & REHABILITATION SERVICES, INC

Practice address

3334 S SW Loop 323
Suite 108
Tyler, TX 75701-9237

Phone

(903) 581-7973

Fax

(903) 581-6605

NPI assigned

Mar 5, 2012

Organization subpart

No

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

Authorized official

Name

Ken A Chinweze

Title

Administrator

Phone

(903) 581-7973

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Jael Cornelio, LMSW

  • Social Worker
  • Tyler, TX
  • NPI 1538590609
  NPD (past)

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

{
    "created_epoch": "1330905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334534400000",
    "number": "1710251012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3334 S SW LOOP 323",
            "address_2": "SUITE 108",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757019237",
            "telephone_number": "903-581-7973",
            "fax_number": "903-581-6605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3334 S SW LOOP 323",
            "address_2": "SUITE 108",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757019237",
            "telephone_number": "903-581-7973",
            "fax_number": "903-581-6605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOSEPH COUNSELING & REHABILITATION SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-05",
        "last_updated": "2012-04-16",
        "status": "A",
        "authorized_official_last_name": "CHINWEZE",
        "authorized_official_first_name": "KEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "903-581-7973"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194941518",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy C Sproles, P.A.-C
• Rachel Renee Spurgeon, LPC
• Travis Squyres, APRN
• SS Tyler LP
• Francis Ssali, M.D
• St Paul Children'S Medical Corporation
• St. Giles Living Centers, Inc.
• St. Giles Living Centers, Inc.
• St. Giles Living Centers, Inc.
• St. Giles Living Centers, Inc.

• Counselor in Tyler, TX
• Providers in Tyler, TX by specialty
• Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2012; 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.