Organization Active NPI

Mint Counseling Center

  • Mental Health Counselor
  • Bay City, TX
National Provider Identifier
1336784271
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MINT COUNSELING CENTER
Practice address
2104 Avenue D
Bay City, TX 77414-4902
Phone
(979) 429-2488
Fax
(979) 429-2473
NPI assigned
Nov 14, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

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

Authorized official

Name
Lilly Olivares
Title
Office/Billing Manager
Phone
(979) 429-2559

Specialties & licenses 1

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

Addresses

Primary practice location

2104 Avenue D
Bay City, TX 77414-4902

Mailing address

2104 Avenue D
Bay City, TX 77414-4902
Phone (979) 429-2488

Other identifiers 1

IdentifierTypeStateIssuer
1801107180MedicaidTX

National Provider Directory

National Provider Directory

Locations

2104 Avenue D
Bay City, TX 77414
Phone (979) 429-2488

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1573689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602028800000",
    "number": "1336784271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 AVENUE D",
            "city": "BAY CITY",
            "state": "TX",
            "postal_code": "774144902",
            "telephone_number": "979-429-2488",
            "fax_number": "979-429-2473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 AVENUE D",
            "city": "BAY CITY",
            "state": "TX",
            "postal_code": "774144902",
            "telephone_number": "979-429-2488",
            "fax_number": "979-429-2473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINT COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-14",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A",
        "authorized_official_last_name": "OLIVARES",
        "authorized_official_first_name": "LILLY",
        "authorized_official_title_or_position": "OFFICE/BILLING MANAGER",
        "authorized_official_telephone_number": "979-429-2559"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1801107180",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; 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.