Vida Nueva Wellness Center

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

VIDA NUEVA WELLNESS CENTER

Practice address

3312 Montana Ave
El Paso, TX 79903-2602

Phone

(915) 329-4998

NPI assigned

Sep 9, 2022

Last updated

Sep 9, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Juan Pablo Hernandez, COUNSELORNPI 1457657157

Title

Owner

Phone

(915) 244-1787

Specialties & licenses 1

Addresses

Locations

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.

• Juan Pablo Hernandez, GUIDANCE/COUNCELOR

  • Professional Counselor
  • Sunland Park, NM
  • NPI 1457657157

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1662681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662681600000",
    "number": "1386365096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3312 MONTANA AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799032602",
            "telephone_number": "915-244-1787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3312 MONTANA AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799032602",
            "telephone_number": "915-329-4998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDA NUEVA WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-09",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "PABLO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "915-244-1787",
        "authorized_official_credential": "COUNSELOR"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in El Paso, TX
• Providers in El Paso, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; 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.