Organization Active NPI

Pure Mind Works, PLLC

  • Professional Counselor
  • Bryan, TX
National Provider Identifier
1063297349
Registry record updated Aug 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
PURE MIND WORKS, PLLC
Practice address
1608 W 17TH St
Bryan, TX 77803-1504
Phone
(979) 739-4269
NPI assigned
Aug 25, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2023

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

Authorized official

Name
Ashley Nelson, LCDC, LPC
Title
Therapist
Phone
(979) 739-4269

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

1608 W 17TH St
Bryan, TX 77803-1504

Mailing address

PO Box 2747
Bryan, TX 77805-2747
Phone (979) 739-4269

Other names 2

  • Ashley Nelson Other name
  • Pure Mind A Therapeutic Solution Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1692921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692921600000",
    "number": "1063297349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2747",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778052747",
            "telephone_number": "979-739-4269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 W 17TH ST",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778031504",
            "telephone_number": "979-739-4269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE MIND WORKS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-25",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "979-739-4269",
        "authorized_official_credential": "LCDC, LPC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ashley Nelson",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Pure Mind A Therapeutic Solution",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bryan, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; 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.