Active NPI
Mindgarden Therapeutic Services
- Clinical Social Worker
- New Braunfels, TX
National Provider Identifier
1366199820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- MINDGARDEN THERAPEUTIC SERVICES
- Practice address
- 667 Arroyo Sierra
New Braunfels, TX 78130-0190 - Phone
- (830) 660-1006
- NPI assigned
- Mar 4, 2022
- 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
- Ana A Potthast, LCSW, LCDC, DSW
- Title
- Owner
- Phone
- (210) 508-4688
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
667 Arroyo Sierra
New Braunfels, TX 78130-0190
Mailing address
667 Arroyo Sierra
New Braunfels, TX 78130-0190
Phone (830) 660-1006
Other names 1
- Ana Alicia Amoricity Potthast PhD
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- New Braunfels, TX
- NPI 1609462480
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646352000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1700524800000",
"number": "1366199820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "667 ARROYO SIERRA",
"city": "NEW BRAUNFELS",
"state": "TX",
"postal_code": "781300190",
"telephone_number": "830-660-1006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "667 ARROYO SIERRA",
"city": "NEW BRAUNFELS",
"state": "TX",
"postal_code": "781300190",
"telephone_number": "830-660-1006"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MINDGARDEN THERAPEUTIC SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-04",
"last_updated": "2023-11-21",
"certification_date": "2023-11-21",
"status": "A",
"authorized_official_last_name": "POTTHAST",
"authorized_official_first_name": "ANA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "210-508-4688",
"authorized_official_credential": "LCSW, LCDC, DSW"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Ana Alicia Amoricity Potthast PhD",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in New Braunfels, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; 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.