NPIMap

Organization Active NPI

Heart Space Counseling Center, LLC

  • Occupational Therapist
  • Tenaha, TX
National Provider Identifier
1861752750
Registry record updated May 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
106894 Issued in TX
Legal business name
HEART SPACE COUNSELING CENTER, LLC
Practice address
649 County Road 433
Tenaha, TX 75974-6332
Phone
(903) 692-3463
NPI assigned
May 24, 2012
Last updated
May 24, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2012

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

Authorized official

Name
Terrie Mae King, OTNPI 1407084338
Title
Member
Phone
(903) 692-3463

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 106894 TX Primary

Addresses

Primary practice location

649 County Road 433
Tenaha, TX 75974-6332

Mailing address

PO Box 1515
Carthage, TX 75633-7515
Phone (903) 692-3463

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1337817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337817600000",
    "number": "1861752750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1515",
            "city": "CARTHAGE",
            "state": "TX",
            "postal_code": "756337515",
            "telephone_number": "903-692-3463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "649 COUNTY ROAD 433",
            "city": "TENAHA",
            "state": "TX",
            "postal_code": "759746332",
            "telephone_number": "903-692-3463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART SPACE COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-24",
        "last_updated": "2012-05-24",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "TERRIE",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "903-692-3463",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "106894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tenaha, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.