Organization Active NPI

Mitchell TC LLC

Doing business as Texas Care Waller

  • Case Management Agency
  • Waller, TX
National Provider Identifier
1639936339
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
MITCHELL TC LLC
Doing business as
Texas Care Waller
Practice address
40190 Business 290 Ste 230
Waller, TX 77484-5771
Phone
(832) 544-0161
NPI assigned
Feb 29, 2024
Last updated
Feb 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Authorized official

Name
Arienne Williams, LPCNPI 1265816276
Title
Director
Phone
(888) 988-6329

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU
Case Management Agency 251B00000X NU Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

40190 Business 290 Ste 230
Waller, TX 77484-5771

Mailing address

40190 Business 290 Ste 230
Waller, TX 77484-5771

Other names 1

  • Texas Care Waller Doing business as

National Provider Directory

National Provider Directory

Locations

40190 Business 290
Ste 230
Waller, TX 77484
Phone (832) 544-0161

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": "1709164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709164800000",
    "number": "1639936339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40190 BUSINESS 290 STE 230",
            "city": "WALLER",
            "state": "TX",
            "postal_code": "774845771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40190 BUSINESS 290 STE 230",
            "city": "WALLER",
            "state": "TX",
            "postal_code": "774845771",
            "telephone_number": "832-544-0161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL TC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-29",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ARIENNE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "888-988-6329",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas Care Waller",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waller, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 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.

Verify at the official NPI Registry.