Organization Active NPI

Mental Health Defense and Fitness, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Beaumont, TX
National Provider Identifier
1598300964
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MENTAL HEALTH DEFENSE AND FITNESS, PLLC
Practice address
6120 College St Ste D185
Beaumont, TX 77707-3445
Phone
(409) 550-1846
Fax
(409) 403-8432
NPI assigned
Nov 8, 2019
Last updated
Apr 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Authorized official

Name
Rory Carothers, LPCNPI 1801431267
Title
Director
Phone
(409) 550-1846

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

6120 College St Ste D185
Beaumont, TX 77707-3445

Mailing address

6120 College St Ste D185
Beaumont, TX 77707-3445
Phone (409) 550-1846

Electronic endpoints 2

TypeEndpointUseAffiliation
SOAP URL therapynotes.com Health Information Exchange (HIE)
SOAP URL simplepractice.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

2660 Sweetgum Ln
Beaumont, TX 77703

6120 College St
Ste D185
Beaumont, TX 77707
Phone (409) 550-1846

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": "1573171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745452800000",
    "number": "1598300964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6120 COLLEGE ST STE D185",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777073445",
            "telephone_number": "409-550-1846",
            "fax_number": "409-403-8432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6120 COLLEGE ST STE D185",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777073445",
            "telephone_number": "409-550-1846",
            "fax_number": "409-403-8432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH DEFENSE AND FITNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-08",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A",
        "authorized_official_last_name": "CAROTHERS",
        "authorized_official_first_name": "RORY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "409-550-1846",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "therapynotes.com",
            "affiliation": "N",
            "endpointDescription": "secure website",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6945 Killarney Dr",
            "city": "Beaumont",
            "state": "TX",
            "country_code": "US",
            "postal_code": "777064115",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "simplepractice.com",
            "affiliation": "N",
            "endpointDescription": "secure website",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2660 Sweetgum Ln",
            "city": "Beaumont",
            "state": "TX",
            "country_code": "US",
            "postal_code": "777034926",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Apr 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.