NPIMap

Organization Active NPI

Hope Village Wellness Center PLLC

  • Professional Counselor
  • San Antonio, TX
National Provider Identifier
1093343071
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
HOPE VILLAGE WELLNESS CENTER PLLC
Practice address
12915 Jones Maltsberger Rd Ste 301
San Antonio, TX 78247-4255
Phone
(210) 687-3526
Fax
(210) 610-6008
NPI assigned
Mar 27, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Authorized official

Name
Uche ChukwurehNPI 1932341476
Title
Owner
Phone
(210) 467-5207

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 Primary

Addresses

Primary practice location

12915 Jones Maltsberger Rd Ste 301
San Antonio, TX 78247-4255

Mailing address

12915 Jones Maltsberger Rd Ste 301
San Antonio, TX 78247-4255
Phone (210) 687-3526

Other identifiers 1

IdentifierTypeStateIssuer
285087701MedicaidTX

Other names 1

  • Behavioral Health Services Doing business as

National Provider Directory

National Provider Directory

Locations

12915 Jones Maltsberger Rd
Ste 301
San Antonio, TX 78247
Phone (210) 467-5207

8206 Roughrider Dr
#201
Windcrest, TX 78239

Practitioners & affiliated clinicians

Practitioners 12

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": "1585267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715817600000",
    "number": "1093343071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12915 JONES MALTSBERGER RD STE 301",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782474255",
            "telephone_number": "210-687-3526",
            "fax_number": "210-467-5207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12915 JONES MALTSBERGER RD STE 301",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782474255",
            "telephone_number": "210-687-3526",
            "fax_number": "210-610-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE VILLAGE WELLNESS CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-27",
        "last_updated": "2024-05-16",
        "certification_date": "2024-04-01",
        "status": "A",
        "authorized_official_last_name": "CHUKWUREH",
        "authorized_official_first_name": "UCHE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-467-5207"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "285087701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Behavioral Health Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Behavioral Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.

Verify at the official NPI Registry.