Organization Active NPI

Beatitudes Wellness Center LLC

  • Professional Counselor
  • Houston, TX
National Provider Identifier
1063660124
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
62194 Issued in TX
Legal business name
BEATITUDES WELLNESS CENTER LLC
Practice address
16015 Cairnway Dr.
#841077
Houston, TX 77284-1077
Phone
(832) 230-4158
NPI assigned
Sep 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Authorized official

Name
Mrs. Patricia Johnson, M.A., LPC-SNPI 1215172218
Title
Manager
Phone
(832) 230-4158

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 62194 TX Primary

Addresses

Primary practice location

16015 Cairnway Dr.
#841077
Houston, TX 77284-1077

Mailing address

PO Box 841077
Houston, TX 77284-1077
Phone (832) 230-4158

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240828004726 TX Part B Supplier - Clinic/Group Practice 5991244428 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

16015 Cairnway Dr
Unit 841077
Houston, TX 77284
Phone (832) 230-4158

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712707200000",
    "number": "1063660124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 841077",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772841077",
            "telephone_number": "832-230-4158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16015 CAIRNWAY DR.",
            "address_2": "#841077",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772841077",
            "telephone_number": "832-230-4158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEATITUDES WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-03",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "832-230-4158",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A., LPC-S"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "62194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.