Sacred Space Counseling Center

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

SACRED SPACE COUNSELING CENTER

Practice address

3407 York St
Wichita Falls, TX 76309-3720

Phone

(214) 475-9411

NPI assigned

Sep 12, 2022

Organization subpart

No

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

Authorized official

Name

Heather Cawthon, PH.D., LPC-SNPI 1356654230

Title

Co-Owner Therapist

Phone

(469) 877-3291

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Heather Michelle Cawthon, PH.D.,LPC-S

  • Professional Counselor
  • McKinney, TX
  • NPI 1356654230
  NPD Authorized official
• Jennifer L Shonkwiler

  • Professional Counselor
  • North Richland Hills, TX
  • NPI 1619461589
  NPD (past)

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662940800000",
    "number": "1972225423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3407 YORK ST",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763093720",
            "telephone_number": "214-475-9411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3407 YORK ST",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763093720",
            "telephone_number": "214-475-9411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 E Debbie Ln",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "TX",
            "postal_code": "760633336",
            "country_code": "US",
            "telephone_number": "469-877-3291",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SACRED SPACE COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A",
        "authorized_official_last_name": "CAWTHON",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "CO-OWNER THERAPIST",
        "authorized_official_telephone_number": "469-877-3291",
        "authorized_official_credential": "PH.D., LPC-S"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dale Joseph Russell, MS, ATC, LAT
• Teri Jo Russell, RD
• William Russell, D.O.
• Rebekah Nicole Russo, LVN
• David M. Sabine, PH.D.
• Sayeh Sadeghpour, PA-C
• Amirreza Sadrmanochehrinaeini, DDS
• Nicole Marie Saenz, NP-C
• Victoria Saenz
• Sage Specialty Hospital of Wichita Falls LLC

• Professional Counselor in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; 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.