Organization Active NPI

Living Tree Case Management and Skills Training Center LLC

  • Case Management Agency
  • New Braunfels, TX
National Provider Identifier
1821756768
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
LIVING TREE CASE MANAGEMENT AND SKILLS TRAINING CENTER LLC
Practice address
1067 FM 306 Ste 402
New Braunfels, TX 78130-6895
Phone
(281) 925-7780
Fax
(210) 783-1646
NPI assigned
Dec 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2021

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

Authorized official

Name
Shirley Nedock, LPCNPI 1942586508
Title
Clinical Director
Phone
(252) 764-1154

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

1067 FM 306 Ste 402
New Braunfels, TX 78130-6895

Mailing address

1067 FM 306 Ste 402
New Braunfels, TX 78130-6895
Phone (281) 925-7780

National Provider Directory

National Provider Directory
Tax ID family
Living Tree Case Management and Skills Training Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1067 FM 306
Ste 402
New Braunfels, TX 78130
Phone (281) 925-7780

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1638835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638835200000",
    "number": "1821756768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1067 FM 306 STE 402",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781306895",
            "telephone_number": "281-925-7780",
            "fax_number": "210-783-1646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1067 FM 306 STE 402",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781306895",
            "telephone_number": "281-925-7780",
            "fax_number": "210-783-1646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING TREE CASE MANAGEMENT AND SKILLS TRAINING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-07",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A",
        "authorized_official_last_name": "NEDOCK",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "252-764-1154",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; 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.