Organization Active NPI

De-Blessed Mental Wellness PLLC

  • Clinic/Center
  • Austin, TX
National Provider Identifier
1467232447
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
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

Updated by the provider on Oct 5, 2023

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

Authorized official

Name
Blessing BenjaminNPI 1942985957
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)CodeLicenseStatePrimary
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, OR5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
O20231106000120 TX Part B Supplier - Clinic/Group Practice 3779930268 Receives reassigned benefits from 1 practitioner
Practice locations: Austin, TX
O20240618001850 NM Part B Supplier - Clinic/Group Practice 3779930268 Receives reassigned benefits from 1 practitioner
Practice locations: Albuquerque, NM
O20240624003323 WA Part B Supplier - Clinic/Group Practice 3779930268 Receives reassigned benefits from 1 practitioner
Practice locations: Tacoma, WA
O20241029002219 AZ Part B Supplier - Clinic/Group Practice 3779930268 Receives reassigned benefits from 1 practitioner
Practice locations: Phoenix, AZ
O20250325004112 OR Part B Supplier - Clinic/Group Practice 3779930268 Receives reassigned benefits from 1 practitioner
Practice locations: Portland, OR

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.