NPIMap

Organization Active NPI

Amazing Grace Christian Services

  • Pastoral Counselor
  • Bowie, MD
National Provider Identifier
1750709549
Registry record updated Mar 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pastoral CounselorTaxonomy code 101YP1600X
License
CL73048 Issued in FL
Legal business name
AMAZING GRACE CHRISTIAN SERVICES
Practice address
11205 Lake Victoria LN
Bowie, MD 20720-4262
Phone
(301) 809-6310
NPI assigned
Mar 31, 2014
Last updated
Mar 31, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2014

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

Authorized official

Name
Dr. Grace D. Clark, PH.D.NPI 1982027728
Title
Owner/Ceo
Phone
(301) 809-6310

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral Counselor 101YP1600X CL73048 FL Primary

Addresses

Primary practice location

11205 Lake Victoria LN
Bowie, MD 20720-4262

Mailing address

11205 Lake Victoria LN
Bowie, MD 20720-4262
Phone (301) 809-6310

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1396224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396224000000",
    "number": "1750709549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11205 LAKE VICTORIA LN",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207204262",
            "telephone_number": "301-809-6310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11205 LAKE VICTORIA LN",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207204262",
            "telephone_number": "301-809-6310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAZING GRACE CHRISTIAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-31",
        "last_updated": "2014-03-31",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "301-809-6310",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "FL",
            "license": "CL73048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2014; 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.