NPIMap

Organization Active NPI

Concho Valley Center for Human Advancement

Doing business as MHMR Services for the Concho Valley

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Angelo, TX
National Provider Identifier
1164479192
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
CONCHO VALLEY CENTER FOR HUMAN ADVANCEMENT
Doing business as
MHMR Services for the Concho Valley
Practice address
244 N Magdalen St
San Angelo, TX 76903-5434
Phone
(325) 658-7750
Fax
(325) 658-8381
NPI assigned
May 27, 2006
Last updated
Jul 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Authorized official

Name
Gregory Rowe
Title
Chief Executive Officer
Phone
(325) 658-7750

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU
Developmentally Disabled Services Day Training Agency 251C00000X NU
Community Health Clinic/Center 261QC1500X NU
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU
Multi-Specialty Clinic/Center 261QM1300X NU
Community Health Nurse Practitioner 363LC1500X NU
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU
Counselor 101Y00000X NU
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Professional Counselor 101YP2500X NU
Clinical Social Worker 1041C0700X NU
Respite Care 385H00000X NU
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X NU
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

244 N Magdalen St
San Angelo, TX 76903-5434

Mailing address

1501 W Beauregard Ave
San Angelo, TX 76901-4004
Phone (325) 658-7750

Other practice location 1

1501 W Beauregard Ave
San Angelo, TX 76901-4004
Phone (325) 658-7750

Other practice location 2

242 N Magdalen St
San Angelo, TX 76903-5434
Phone (325) 658-7750

Other practice location 3

202 N Main St
San Angelo, TX 76903-4842
Phone (325) 658-7750

Other practice location 4

250 N Magdalen St
San Angelo, TX 76903-5443
Phone (325) 658-7750

Other practice location 5

424 S Oakes St
San Angelo, TX 76903-5944
Phone (325) 658-7750

Other identifiers 4

IdentifierTypeStateIssuer
109483102MedicaidTX
127323704MedicaidTX
127323702MedicaidTX
127323701MedicaidTX

Other names 1

  • MHMR Services for the Concho Valley Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ABAIRD@MHMRCV.ORG Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050119000856 TX Part B Supplier - Clinic/Group Practice 7719936533 Receives reassigned benefits from 21 practitioners
1 other NPI on this enrollment
Practice locations: San Angelo, TX

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Concho Valley Center for Human Advancement8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

242 N Magdalen St
San Angelo, TX 76903
Phone (325) 658-7750

Practitioners & affiliated clinicians

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784851200000",
    "number": "1164479192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 W BEAUREGARD AVE",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769014004",
            "telephone_number": "325-658-7750",
            "fax_number": "325-658-8381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 N MAGDALEN ST",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769035434",
            "telephone_number": "325-658-7750",
            "fax_number": "325-658-8381"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 W Beauregard Ave",
            "address_purpose": "LOCATION",
            "city": "San Angelo",
            "state": "TX",
            "postal_code": "769014004",
            "country_code": "US",
            "telephone_number": "325-658-7750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "242 N Magdalen St",
            "address_purpose": "LOCATION",
            "city": "San Angelo",
            "state": "TX",
            "postal_code": "769035434",
            "country_code": "US",
            "telephone_number": "325-658-7750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "202 N Main St",
            "address_purpose": "LOCATION",
            "city": "San Angelo",
            "state": "TX",
            "postal_code": "769034842",
            "country_code": "US",
            "telephone_number": "325-658-7750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "250 N Magdalen St",
            "address_purpose": "LOCATION",
            "city": "San Angelo",
            "state": "TX",
            "postal_code": "769035443",
            "country_code": "US",
            "telephone_number": "325-658-7750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "424 S Oakes St",
            "address_purpose": "LOCATION",
            "city": "San Angelo",
            "state": "TX",
            "postal_code": "769035944",
            "country_code": "US",
            "telephone_number": "325-658-7750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CONCHO VALLEY CENTER FOR HUMAN ADVANCEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A",
        "authorized_official_last_name": "ROWE",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "325-658-7750"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109483102",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127323704",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127323702",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127323701",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ABAIRD@MHMRCV.ORG",
            "affiliation": "N",
            "endpointDescription": "CREDENTIALING",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1501 W Beauregard Ave",
            "city": "San Angelo",
            "state": "TX",
            "country_code": "US",
            "postal_code": "76901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "MHMR Services for the Concho Valley",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MHMR Services for the Concho Valley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Angelo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; 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.