Active NPI
Benedict Mental Health Clinic, LLC
- Professional Counselor
- Brownsville, TX
National Provider Identifier
1396366340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- BENEDICT MENTAL HEALTH CLINIC, LLC
- Practice address
- 3503 Boca Chica Blvd Ste 2
Brownsville, TX 78521-6675 - Phone
- (210) 675-0066
- Fax
- (210) 247-9611
- NPI assigned
- Apr 30, 2020
- 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
- Mr. Clifford Horace Benedict, LPC
- Title
- Manager
- Phone
- (956) 551-8185
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
3503 Boca Chica Blvd Ste 2
Brownsville, TX 78521-6675
Mailing address
3503 Boca Chica Blvd Ste 2
Brownsville, TX 78521-6675
Phone (210) 675-0066
National Provider Directory
National Provider DirectoryLocations
3503 Boca Chica Blvd
Ste 2
Brownsville, TX 78521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588204800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1588204800000",
"number": "1396366340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3503 BOCA CHICA BLVD STE 2",
"city": "BROWNSVILLE",
"state": "TX",
"postal_code": "785216675",
"telephone_number": "210-675-0066",
"fax_number": "210-247-9611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3503 BOCA CHICA BLVD STE 2",
"city": "BROWNSVILLE",
"state": "TX",
"postal_code": "785216675",
"telephone_number": "210-675-0066",
"fax_number": "210-247-9611"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BENEDICT MENTAL HEALTH CLINIC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-04-30",
"last_updated": "2020-04-30",
"certification_date": "2020-04-30",
"status": "A",
"authorized_official_last_name": "BENEDICT",
"authorized_official_first_name": "CLIFFORD",
"authorized_official_middle_name": "HORACE",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "956-551-8185",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brownsville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.