Active NPI
Roosevelt Adams Jr., PASTORAL COUNSELOR
- Pastoral Counselor
- San Antonio, TX
National Provider Identifier
1942767355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pastoral Counselor
- Practice address
- 1852 Lockhill Selma Rd Ste 108
San Antonio, TX 78213-1500 - Phone
- (210) 789-0588
- Fax
- (210) 271-9414
- NPI assigned
- Feb 22, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pastoral Counselor | 101YP1600X | TX | Primary |
Addresses
Primary practice location
1852 Lockhill Selma Rd Ste 108
San Antonio, TX 78213-1500
Mailing address
PO Box 29735
San Antonio, TX 78229-0735
Phone (210) 789-0588
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09203449 | Other | TX | TEXAS DRIVER'S LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550793600000",
"number": "1942767355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 29735",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782290735",
"telephone_number": "210-789-0588",
"fax_number": "210-271-9414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1852 LOCKHILL SELMA RD STE 108",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782131500",
"telephone_number": "210-789-0588",
"fax_number": "210-271-9414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "ROOSEVELT",
"name_suffix": "Jr.",
"credential": "PASTORAL COUNSELOR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-02-22",
"last_updated": "2019-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS DRIVER'S LICENSE",
"identifier": "09203449",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.