NPIMap

Organization Active NPI

Add Life Mentoring of Victoria

  • Mental Health Counselor
  • Victoria, TX
National Provider Identifier
1306181185
Registry record updated Dec 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ADD LIFE MENTORING OF VICTORIA
Doing business as
Add Life Mentoring of Victoria
Practice address
3308 Bobolink St
Victoria, TX 77901-7612
Phone
(713) 571-9727
Fax
(281) 829-7236
NPI assigned
Dec 4, 2012
Last updated
Dec 4, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2012

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

Authorized official

Name
Mr. Isiah Johnson
Title
Ceo
Phone
(713) 571-9727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

3308 Bobolink St
Victoria, TX 77901-7612

Mailing address

3308 Bobolink St
Victoria, TX 77901-7612
Phone (713) 571-9727

Other names 1

  • Add Life Mentoring of Victoria Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1354579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354579200000",
    "number": "1306181185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3308 BOBOLINK ST",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779017612",
            "telephone_number": "713-571-9727",
            "fax_number": "281-829-7236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3308 BOBOLINK ST",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779017612",
            "telephone_number": "713-571-9727",
            "fax_number": "281-829-7236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADD LIFE MENTORING OF VICTORIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-04",
        "last_updated": "2012-12-04",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ISIAH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "713-571-9727",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Add Life Mentoring of Victoria",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Victoria, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2012; 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.