National Provider Identifier

Xesus House Of Prayer, Inc.

Xesus House Of Prayer, Inc. is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Williamsville, NY and a listed phone number of (716) 406-4246.

NPI 1104669993Williamsville, NYMental Health Counselor

Source: public NPPES record, last updated June 18, 2024. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1104669993
Provider Type
Organization
Primary Specialty
Mental Health Counselor
Enumeration Date
June 18, 2024
Last Updated
June 18, 2024

Practice Location

  • 300 International Dr Ste 100
  • Williamsville, NY 14221-5783

Phone: (716) 406-4246

Mailing Address

  • 135 Lyndale Ave
  • Buffalo, NY 14223-3023

Authorized Official

Name
MS. Jerica Jalane Barber
Title
Founder, President, CEO
Credentials
ESQ., LMHC, RN
Phone
(716) 406-4246

Specialties

  • Mental Health Counselor (101YM0800X)
  • Addiction (Substance Use Disorder) Counselor (101YA0400X)
  • College Health Registered Nurse (163WC1400X)
  • Counselor (101Y00000X)
  • Legal Medicine (173000000X)
  • Pastoral Counselor (101YP1600X)
  • Poetry Therapist (102X00000X)
  • Professional Counselor (101YP2500X)
  • Registered Nurse (163W00000X)

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Other NPI Records at This Address

These published NPI records use the same practice address. Sharing an address does not by itself establish ownership, employment, or affiliation.

Full Record
NPI
1104669993
Entity Type
Organization
Organization Name
Xesus House Of Prayer, Inc.
Mailing Street Address
135 Lyndale Ave
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14223-3023
Mailing Country
US
Mailing Phone
(716) 463-1698
Practice Street Address
300 International Dr Ste 100
Practice City
Williamsville
Practice State
NY
Practice ZIP Code
14221-5783
Practice Country
US
Practice Phone
(716) 406-4246
Practice Fax
(716) 463-1698
Enumeration Date
June 18, 2024
Last Updated
June 18, 2024
Authorized Official Last Name
Barber
Authorized Official First Name
Jerica
Authorized Official Middle Name
Jalane
Authorized Official Title
Founder, President, CEO
Authorized Official Phone
(716) 406-4246
Organization Subpart
No
Authorized Official Name Prefix Text
MS.
Authorized Official Credential Text
ESQ., LMHC, RN
Taxonomy Group 1
193200000X Multi-Specialty Group
Taxonomy Group 2
193200000X Multi-Specialty Group
Taxonomy Group 3
193200000X Multi-Specialty Group
Taxonomy Group 4
193200000X Multi-Specialty Group
Taxonomy Group 5
193200000X Multi-Specialty Group
Taxonomy Group 6
193200000X Multi-Specialty Group
Taxonomy Group 7
193200000X Multi-Specialty Group
Taxonomy Group 8
193200000X Multi-Specialty Group
Taxonomy Group 9
193200000X Multi-Specialty Group
Certification Date
June 18, 2024
Taxonomies
Mental Health Counselor (101YM0800X), Addiction (Substance Use Disorder) Counselor (101YA0400X), College Health Registered Nurse (163WC1400X), Counselor (101Y00000X), Legal Medicine (173000000X), Pastoral Counselor (101YP1600X), Poetry Therapist (102X00000X), Professional Counselor (101YP2500X), Registered Nurse (163W00000X)