Active NPI
Mint Counseling Center
- Mental Health Counselor
- Bay City, TX
National Provider Identifier
1336784271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801107180 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Mental Health Counselor
- Bay City, TX
- NPI 1649510314
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.