NPIMap

Organization Active NPI

Senior Mental Health Solutions, LP

  • Social Worker
  • Willow Park, TX
National Provider Identifier
1083797443
Registry record updated Jul 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
SENIOR MENTAL HEALTH SOLUTIONS, LP
Practice address
109 Manor Court North
Willow Park, TX 76087-3002
Phone
(817) 522-8263
Fax
(817) 441-1916
NPI assigned
Oct 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2009

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

Authorized official

Name
Mr. Marvin Keith McGarrahan
Title
Owner
Phone
(817) 522-8263

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X

Addresses

Primary practice location

109 Manor Court North
Willow Park, TX 76087-3002

Mailing address

109 Manor Court North
Willow Park, TX 76087-3002
Phone (817) 522-8263

Other identifiers 1

IdentifierTypeStateIssuer
171801702MedicaidTX

National Provider Directory

National Provider Directory

Locations

312 Harwood Rd
Bedford, TX 76021
Phone (817) 686-4800

Practitioners & affiliated clinicians

Practitioners 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1161388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247011200000",
    "number": "1083797443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 MANOR COURT NORTH",
            "city": "WILLOW PARK",
            "state": "TX",
            "postal_code": "760873002",
            "telephone_number": "817-522-8263",
            "fax_number": "817-441-1916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 MANOR COURT NORTH",
            "city": "WILLOW PARK",
            "state": "TX",
            "postal_code": "760873002",
            "telephone_number": "817-522-8263",
            "fax_number": "817-441-1916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR MENTAL HEALTH SOLUTIONS, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-21",
        "last_updated": "2009-07-08",
        "status": "A",
        "authorized_official_last_name": "MCGARRAHAN",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-522-8263",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171801702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Willow Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2009; 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.