Active NPI
Pnuema Stance Mind Care and Consulting LLC
- Clinical Social Worker
- Killeen, TX
National Provider Identifier
1013540228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- PNUEMA STANCE MIND CARE AND CONSULTING LLC
- Practice address
- 2504 Montague County Dr
Killeen, TX 76549-1609 - Phone
- (575) 740-6736
- NPI assigned
- Feb 16, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary Cannon
- Title
- Ceo
- Phone
- (575) 740-6736
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | |||
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
2504 Montague County Dr
Killeen, TX 76549-1609
Mailing address
21750 Hardy Oak Blvd
Ste 104 PMB 552025
San Antonio, TX 78258-4946
Phone (575) 740-6736
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Killeen, TX
- NPI 1336338599
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581811200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713484800000",
"number": "1013540228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21750 HARDY OAK BLVD",
"address_2": "STE 104 PMB 552025",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782584946",
"telephone_number": "575-740-6736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2504 MONTAGUE COUNTY DR",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765491609",
"telephone_number": "575-740-6736"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PNUEMA STANCE MIND CARE AND CONSULTING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-16",
"last_updated": "2024-04-19",
"certification_date": "2024-04-19",
"status": "A",
"authorized_official_last_name": "CANNON",
"authorized_official_first_name": "MARY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "575-740-6736"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Killeen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.