Organization Active NPI

Solace Mindcare Hub PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Weslaco, TX
National Provider Identifier
1275300741
Registry record updated May 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
SOLACE MINDCARE HUB PLLC
Practice address
161 S Texas Blvd
Weslaco, TX 78596-6103
Phone
(956) 395-2743
Fax
(956) 394-1098
NPI assigned
Dec 5, 2023
Last updated
May 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2024

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

Authorized official

Name
Rogelio Solis Jr, PMHNP
Title
Owner
Phone
(956) 395-2743

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Multi-Specialty Clinic/Center 261QM1300X
Psychiatric/Mental Health Nurse Practitioner 363LP0808X Primary

Addresses

Primary practice location

161 S Texas Blvd
Weslaco, TX 78596-6103

Mailing address

161 S Texas Blvd
Weslaco, TX 78596-6103
Phone (956) 395-2743

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240314000042 TX Part B Supplier - Clinic/Group Practice 4284070160 Receives reassigned benefits from 1 practitioner
Practice locations: Weslaco, TX

National Provider Directory

National Provider Directory

Locations

161 S Texas Blvd
Weslaco, TX 78596
Phone (956) 395-2743

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": "1701734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715472000000",
    "number": "1275300741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 S TEXAS BLVD",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785966103",
            "telephone_number": "956-395-2743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 S TEXAS BLVD",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785966103",
            "telephone_number": "956-395-2743",
            "fax_number": "956-394-1098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLACE MINDCARE HUB PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-05",
        "last_updated": "2024-05-12",
        "certification_date": "2024-05-12",
        "status": "A",
        "authorized_official_last_name": "SOLIS JR",
        "authorized_official_first_name": "ROGELIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-395-2743",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weslaco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2024; 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.