Active NPI
Green Pastures Mental Care PLLC
- Psychiatric/Mental Health Nurse Practitioner
- Shavano Park, TX
National Provider Identifier
1518679141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- GREEN PASTURES MENTAL CARE PLLC
- Practice address
- 4358 Lockhill Selma Rd Ste 307
Shavano Park, TX 78249-4167 - Phone
- (210) 940-0540
- NPI assigned
- Dec 14, 2022
- 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
- Sarah Casola, PMHNP-BC
- Title
- Director
- Phone
- (210) 940-0540
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Psychologist | 103T00000X | |||
| Social Worker | 104100000X | |||
| Registered Dietitian | 133V00000X | |||
| Registered Nurse | 163W00000X | |||
| Licensed Vocational Nurse | 164X00000X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
4358 Lockhill Selma Rd Ste 307
Shavano Park, TX 78249-4167
Mailing address
12370 Potranco Rd
Ste 207
San Antonio, TX 78253-4260
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Shavano Park, TX
- NPI 1598428682
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670976000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707782400000",
"number": "1518679141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12370 POTRANCO RD",
"address_2": "STE 207",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782534260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4358 LOCKHILL SELMA RD STE 307",
"city": "SHAVANO PARK",
"state": "TX",
"postal_code": "782494167",
"telephone_number": "210-940-0540"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREEN PASTURES MENTAL CARE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-14",
"last_updated": "2024-02-13",
"certification_date": "2024-02-13",
"status": "A",
"authorized_official_last_name": "CASOLA",
"authorized_official_first_name": "SARAH",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "210-940-0540",
"authorized_official_credential": "PMHNP-BC"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": null,
"license": null,
"primary": false
},
{
"code": "164X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Licensed Vocational Nurse",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shavano Park, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.