Active NPI
De-Blessed Mental Wellness PLLC
- Clinic/Center
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- DE-BLESSED MENTAL WELLNESS PLLC
- Practice address
- 5900 Balcones Dr # 14969
Austin, TX 78731-4257 - Phone
- (832) 212-0227
- NPI assigned
- Oct 5, 2023
- 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
- Blessing Benjamin
- Title
- Owner
- Phone
- (832) 212-0227
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
5900 Balcones Dr # 14969
Austin, TX 78731-4257
Mailing address
5900 Balcones Dr # 14969
Austin, TX 78731-4257
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, NM, WA, AZ, OR
Enrollment records 5
National Provider Directory
National Provider DirectoryLocations
3450 E Shea Blvd
Ste 200
Phoenix, AZ 85028
Phone (346) 697-6065
3450 E Shea Blvd
Ste 200
Phoenix, AZ 85028
Phone (346) 697-6065
5900 Balcones Dr
#14969
Austin, TX 78731
Phone (346) 697-6065
748 Market St
Ste 201
Tacoma, WA 98402
Phone (346) 697-6065
Practitioners & affiliated clinicians
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Fort Hood, TX
- NPI 1942985957
AZ, NM, OR, WA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696464000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1696464000000",
"number": "1467232447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5900 BALCONES DR # 14969",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787314257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5900 BALCONES DR # 14969",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787314257",
"telephone_number": "832-212-0227"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DE-BLESSED MENTAL WELLNESS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-05",
"last_updated": "2023-10-05",
"certification_date": "2023-10-05",
"status": "A",
"authorized_official_last_name": "BENJAMIN",
"authorized_official_first_name": "BLESSING",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "832-212-0227"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.