Address: Kingdom Out Reach Center of San Antonio, 3819 Naco Perrin Blvd #118, San Antonio, TX 78217

KINGDOM OUTREACH CENTER OF SAN ANTONIO, TX (NPI# 1699307173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699307173
Entity Type Organization
Practice Address Kingdom Out Reach Center of San Antonio
3819 Naco Perrin Blvd #118
San Antonio
TX 78217
Practice Telephone 2106879715
Mailing Address 6027 Red Rose
San Antonio
TX 78244-4431
Certification Date 2020-02-12
Enumeration Date 2020-02-12
Last Update Date 2020-02-12
Authorized Official Telephone 2106879715
Authorized Official Credential LCPC
Is Organization Subpart N


Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 101Y00000X Counselor 193200000X MULTI-SPECIALTY GROUP Behavioral Health & Social Service Providers

Provider Secondary Practice Locations

Address Telephone Number Fax Number
5282 Medical Dr Ste 605, San Antonio, TX 782296114 2102713630 2104442171

Office Location

State TX
Zip Code 78217

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1881224277 Tinyada Robinson Recreation Therapist 1777 Ne Interstate 410 Loop, Ste 1009, San Antonio, TX 78217 2020-01-24
1699390278 Nadia Sanchez De Ramos Counselor - Professional 10615 Perrin Veitle, Ste. 402, San Antonio, TX 78217 2020-06-10
1083241129 Jena Lalley Nurse Practitioner - Family 8723 Botts Lane, San Antonio, TX 78217 2020-03-26
1346632031 Hayley Norton Registered Nurse 2130 Ne Interstate 410 Loop, Suite 100, San Antonio, TX 78217 2015-03-04
1356838452 Morgan Nichols Behavioral Analyst 8545 Broadway Bldg. C Ste. 200, San Antonio, TX 78217 2018-04-16
1528651056 Roberto Enrique Rosario Nurse Practitioner - Gerontology 1800 Ne I410 Ste 400, San Antonio, TX 78217 2021-02-16
1609455534 Lorrie Anne Salinas · Lorrie Anne Schuler Nurse Practitioner 1804 Ne Interstate 410 Loop Suite 100, San Antonio, TX 78217 2021-04-07
1326526922 Charlene Michelle Turner Registered Nurse - Home Health 8620 N New Braunfels Ave, #700, San Antonio, TX 78217 2018-08-06
1104455518 Lamonica Shantae Armond Counselor - Professional 4035 Narco Perrin Blvd Ste 2030, San Antonio, TX 78217 2020-04-07
1225435738 Kidz Treehouse Pediatric Therapy, LLC. Speech-Language Pathologist 1800 Ne Loop 410 Ste 416, San Antonio, TX 78217 2014-11-26
Find all in zip 78217

Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053995316 Felicia Goins Counselor 7911 Broadway, San Antonio, TX 78209-2601 2021-05-11
1386225829 Alyssa Arredondo Counselor 2703 Montebello, San Antonio, TX 78259-2160 2021-04-16
1275111221 Diane Elizabeth Cisneros Counselor 2121 Lockhill Selma Rd, San Antonio, TX 78213-1410 2021-03-31
1316523749 Mandy Renee-Marin Randall · Mandy Renee Marin Counselor 3803 Lenten Rose, San Antonio, TX 78259-2348 2021-03-24
1386238673 Merrik Laine Hetherington Counselor 7822 Bantry Ct, San Antonio, TX 78240-5722 2021-02-26
1588258461 Mending Hearts LLC Counselor 5886 De Zavala Rd, Suite 102 #453, San Antonio, TX 78249-2269 2021-02-22
1205428794 Waterman Counseling LLC Counselor 7567 Corian Park Dr, San Antonio, TX 78249-3627 2021-02-07
1821689076 Arianna Skinner-Beck Counselor 6766 Manor Hill, San Antonio, TX 78257 2021-01-31
1699366096 Robert Charles Stead Counselor 6963 Sunset Village Dr, San Antonio, TX 78249-3511 2021-01-28
1023605359 Goldicare Medical, Pllc Counselor 36 Chapel Hill Cir, San Antonio, TX 78240-3903 2020-12-21
Find all providers in SAN ANTONIO


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Zip Code 78217

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.