Organization Active NPI

Mosaic Wellness, LLC

  • Marriage & Family Therapist
  • Abilene, TX
National Provider Identifier
1245886910
Registry record updated Aug 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
MOSAIC WELLNESS, LLC
Practice address
5189 Texas Ave
Abilene, TX 79605-4529
Phone
(325) 603-1725
NPI assigned
Aug 17, 2019
Last updated
Aug 17, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2019

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

Authorized official

Name
Mr. Jeffrey David Emery, LMFT-SNPI 1225386089
Title
Owner
Phone
(325) 603-1725

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

5189 Texas Ave
Abilene, TX 79605-4529

Mailing address

5189 Texas Ave
Abilene, TX 79605-4529
Phone (325) 603-1725

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1566000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566000000000",
    "number": "1245886910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5189 TEXAS AVE",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796054529",
            "telephone_number": "325-603-1725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5189 TEXAS AVE",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796054529",
            "telephone_number": "325-603-1725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSAIC WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-17",
        "last_updated": "2019-08-17",
        "status": "A",
        "authorized_official_last_name": "EMERY",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "325-603-1725",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMFT-S"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2019; 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.