Organization Active NPI

Community Awareness Center

Doing business as Legacy Minds and Cognitive Wellness

  • Community Health Registered Nurse
  • Mesquite, TX
National Provider Identifier
1598567455
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
Legal business name
COMMUNITY AWARENESS CENTER
Doing business as
Legacy Minds and Cognitive Wellness
Practice address
2379 Gus Thomasson Rd
Mesquite, TX 75150-5302
Phone
(682) 405-4998
NPI assigned
Mar 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Authorized official

Name
Janna FaganNPI 1215734561
Title
RN
Phone
(682) 405-4998

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
Community Health Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WC1500X Primary

Addresses

Primary practice location

2379 Gus Thomasson Rd
Mesquite, TX 75150-5302

Mailing address

2379 Gus Thomasson Rd
Mesquite, TX 75150-5302
Phone (682) 405-4998

Other names 1

  • Legacy Minds and Cognitive Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

2379 Gus Thomasson Rd
Ste 200
Mesquite, TX 75150
Phone (903) 501-8032

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": "1742774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743638400000",
    "number": "1598567455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2379 GUS THOMASSON RD",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751505302",
            "telephone_number": "682-405-4998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2379 GUS THOMASSON RD",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751505302",
            "telephone_number": "682-405-4998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY AWARENESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-24",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A",
        "authorized_official_last_name": "FAGAN",
        "authorized_official_first_name": "JANNA",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "682-405-4998"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy Minds and Cognitive Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.