Active NPI
Texarkana Mental Health and Wellness Center PLLC
- Professional Counselor
- Texarkana, TX
National Provider Identifier
1093349581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- TEXARKANA MENTAL HEALTH AND WELLNESS CENTER PLLC
- Practice address
- 4140 McKnight Rd
Texarkana, TX 75503-0921 - Phone
- (903) 824-2624
- NPI assigned
- Feb 24, 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
- Mrs. Jennifer Michelle Sellers, LPC-S
- Title
- Licensed Profession Counselor
- Phone
- (903) 824-2624
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
4140 McKnight Rd
Texarkana, TX 75503-0921
Mailing address
4140 McKnight Rd
Texarkana, TX 75503-0921
Phone (903) 824-2624
National Provider Directory
National Provider DirectoryLocations
4140 McKnight Rd
Texarkana, TX 75503
Phone (903) 224-3022
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Atlanta, TX
- NPI 1841629581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582502400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1583193600000",
"number": "1093349581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4140 MCKNIGHT RD",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755030921",
"telephone_number": "903-824-2624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4140 MCKNIGHT RD",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755030921",
"telephone_number": "903-824-2624"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TEXARKANA MENTAL HEALTH AND WELLNESS CENTER PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-24",
"last_updated": "2020-03-03",
"certification_date": "2020-03-03",
"status": "A",
"authorized_official_last_name": "SELLERS",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "MICHELLE",
"authorized_official_title_or_position": "LICENSED PROFESSION COUNSELOR",
"authorized_official_telephone_number": "903-824-2624",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LPC-S"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Texarkana, TX
- Texarkana Holistic Counseling PLLC
- Texarkana Ind School District
- Texarkana Internal Medicine Association PA
- Texarkana Ip, PLLC
- Texarkana Ketamine Clinic, PLLC
- Texarkana MRI, LP
- Texarkana Nursing & Healthcare
- Texarkana Pain Institute
- Texarkana Pet/CT Imaging Institute, L.P.
- Texarkana Professional Christian Counseling
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.