From Darkness to Light Prophetic Counseling LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

FROM DARKNESS TO LIGHT PROPHETIC COUNSELING LLC

Practice address

1380 Pantheon Way
San Antonio, TX 78232-2288

Phone

(726) 842-0498

NPI assigned

Mar 21, 2024

Last updated

Apr 3, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary R Moseley, M.ED., LPC-S, NCCNPI 1417302415

Title

Owner

Phone

(726) 842-0498

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary Moseley, LPC-S

  • Professional Counselor
  • San Antonio, TX
  • NPI 1417302415
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1710979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712102400000",
    "number": "1740040203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21750 HARDY OAK BLVD. STE. 104",
            "address_2": "#660606",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78258",
            "telephone_number": "726-842-0498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 PANTHEON WAY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782322288",
            "telephone_number": "726-842-0498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FROM DARKNESS TO LIGHT PROPHETIC COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-21",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A",
        "authorized_official_last_name": "MOSELEY",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "726-842-0498",
        "authorized_official_credential": "M.ED., LPC-S, NCC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Marie Fritze, MD
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• Stephen A. Fromel, PA-C
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• Shirley Fronda
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• Mental Health Clinic/Center (Including Community Mental Health Center) in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.