Organization Active NPI

Mustard Seed Center, LLC

  • Developmental - Behavioral Pediatrics Physician
  • Waco, TX
National Provider Identifier
1467326561
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X
Legal business name
MUSTARD SEED CENTER, LLC
Practice address
1201 Hewitt Dr Ste 107
Waco, TX 76712-8834
Phone
(254) 572-8890
Fax
(254) 231-3754
NPI assigned
Oct 1, 2025
Last updated
Oct 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Authorized official

Name
Casie Ward
Title
Owner
Phone
(254) 572-8890

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental - Behavioral Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080P0006X Primary

Addresses

Primary practice location

1201 Hewitt Dr Ste 107
Waco, TX 76712-8834

Mailing address

1201 Hewitt Dr Ste 107
Waco, TX 76712-8834
Phone (254) 572-8890

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260112000681 TX Part B Supplier - Clinic/Group Practice 2961988712 Receives reassigned benefits from 2 practitioners
Practice locations: Waco, TX

National Provider Directory

National Provider Directory

Locations

1201 Hewitt Dr
Waco, TX 76712
Phone (254) 776-7864

Practitioners & affiliated clinicians

Practitioners 6

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": "1759276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759276800000",
    "number": "1467326561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 HEWITT DR STE 107",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767128834",
            "telephone_number": "254-572-8890",
            "fax_number": "254-231-3754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 HEWITT DR STE 107",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767128834",
            "telephone_number": "254-572-8890",
            "fax_number": "254-231-3754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSTARD SEED CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-01",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "CASIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "254-572-8890"
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; 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.