NPIMap

Organization Active NPI

Spindletop MHMR Services

  • Mental Health Counselor
  • Beaumont, TX
National Provider Identifier
1467517656
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
NA Issued in TX
Legal business name
SPINDLETOP MHMR SERVICES
Practice address
2750 S 8TH St
Beaumont, TX 77701-7719
Phone
(409) 839-1000
Fax
(409) 839-1066
NPI assigned
Dec 27, 2006
Last updated
Dec 5, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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

Authorized official

Name
Annie J Smith
Title
Reimbursement Manager
Phone
(409) 839-1009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X NA TX Primary

Addresses

Primary practice location

2750 S 8TH St
Beaumont, TX 77701-7719

Mailing address

2750 S 8TH St
Beaumont, TX 77701-7719
Phone (409) 839-1000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040228000236 TX Part B Supplier - Clinic/Group Practice 1658268321 Receives reassigned benefits from 102 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Beaumont, TX; Orange, TX; Port Arthur, TX; Silsbee, TX

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Spindletop MHMR Services14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Practitioners & affiliated clinicians

Practitioners 99

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.

View all 99

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670198400000",
    "number": "1467517656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 S 8TH ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777017719",
            "telephone_number": "409-839-1000",
            "fax_number": "409-839-1066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 S 8TH ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777017719",
            "telephone_number": "409-839-1000",
            "fax_number": "409-839-1066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINDLETOP MHMR SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ANNIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "REIMBURSEMENT MANAGER",
        "authorized_official_telephone_number": "409-839-1009"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "NA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; 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.