Organization Active NPI

Benedict Mental Health Clinic, LLC

  • Professional Counselor
  • Brownsville, TX
National Provider Identifier
1396366340
Registry record updated Apr 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
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

Updated by the provider on Apr 30, 2020

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)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.