Organization Active NPI

Mending Minds Counseling, PLLC

  • Mental Health Counselor
  • Corpus Christi, TX
National Provider Identifier
1629769872
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MENDING MINDS COUNSELING, PLLC
Practice address
5030 Holly Rd Ste a
Corpus Christi, TX 78411-4759
Phone
(361) 434-0421
NPI assigned
May 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2023

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

Authorized official

Name
Trish Guerrero, LPCNPI 1568150209
Title
Managing Agent
Phone
(361) 522-4710

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 CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

5030 Holly Rd Ste a
Corpus Christi, TX 78411-4759

Mailing address

989 Santa Cruz LN
Corpus Christi, TX 78415-4485
Phone (361) 522-4710

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240125002258 TX Part B Supplier - Clinic/Group Practice 0840643912 Receives reassigned benefits from 1 practitioner
Practice locations: Corpus Christi, TX

National Provider Directory

National Provider Directory

Locations

5151 Flynn Pkwy
Ste 610
Corpus Christi, TX 78411
Phone (361) 445-9957

5866 S Staples St
Ste 320
Corpus Christi, TX 78413
Phone (361) 332-6551

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1684368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684368000000",
    "number": "1629769872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "989 SANTA CRUZ LN",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784154485",
            "telephone_number": "361-522-4710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 HOLLY RD STE A",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114759",
            "telephone_number": "361-434-0421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDING MINDS COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-18",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A",
        "authorized_official_last_name": "GUERRERO",
        "authorized_official_first_name": "TRISH",
        "authorized_official_title_or_position": "MANAGING AGENT",
        "authorized_official_telephone_number": "361-522-4710",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; 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.