Active NPI
Hidden Roots Mental Health Texas
- Case Management Agency
- Spring, TX
National Provider Identifier
1255029757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- HIDDEN ROOTS MENTAL HEALTH TEXAS
- Practice address
- 6601 Cypresswood Dr
Spring, TX 77379-7891 - Phone
- (804) 629-2673
- NPI assigned
- Apr 24, 2023
- 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
- Jasmary Tineo
- Title
- Ceo1
- Phone
- (804) 629-2673
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary | ||
| Community/Behavioral Health Agency | 251S00000X |
Addresses
Primary practice location
6601 Cypresswood Dr
Spring, TX 77379-7891
Mailing address
205 E Broadway Ste G
Hopewell, VA 23860-2809
Phone (804) 629-2673
National Provider Directory
National Provider DirectoryLocations
6601 Cypresswood Dr
Spring, TX 77379
Phone (346) 206-9890
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Hopewell, VA
- NPI 1417663840
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682294400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1683158400000",
"number": "1255029757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 E BROADWAY STE G",
"city": "HOPEWELL",
"state": "VA",
"postal_code": "238602809",
"telephone_number": "804-629-2673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6601 CYPRESSWOOD DR",
"city": "SPRING",
"state": "TX",
"postal_code": "773797891",
"telephone_number": "804-629-2673"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HIDDEN ROOTS MENTAL HEALTH TEXAS",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-24",
"last_updated": "2023-05-04",
"certification_date": "2023-05-04",
"status": "A",
"authorized_official_last_name": "TINEO",
"authorized_official_first_name": "JASMARY",
"authorized_official_title_or_position": "CEO1",
"authorized_official_telephone_number": "804-629-2673"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spring, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.