Organization Active NPI

John W Garwood, LPC, LCDC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Corpus Christi, TX
National Provider Identifier
1649658188
Registry record updated May 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
11064 Issued in TX
Legal business name
JOHN W GARWOOD, LPC, LCDC
Practice address
4314 Crested Butte Dr
Corpus Christi, TX 78413-4417
Phone
(361) 779-8628
NPI assigned
May 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2015

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

Authorized official

Name
Mr. John W. Garwood, LPC, LCDC
Title
Sole Proprietor
Phone
(361) 779-8628

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 11064 TX Primary

Addresses

Primary practice location

4314 Crested Butte Dr
Corpus Christi, TX 78413-4417

Mailing address

5926 S Staples St Ste D9
Corpus Christi, TX 78413-3843
Phone (361) 779-8628

Other identifiers 1

IdentifierTypeStateIssuer
027124903MedicaidTX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1431820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431820800000",
    "number": "1649658188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5926 S STAPLES ST STE D9",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784133843",
            "telephone_number": "361-779-8628",
            "fax_number": "361-992-6835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4314 CRESTED BUTTE DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784134417",
            "telephone_number": "361-779-8628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN W GARWOOD, LPC, LCDC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-17",
        "last_updated": "2015-05-17",
        "status": "A",
        "authorized_official_last_name": "GARWOOD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "361-779-8628",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC, LCDC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "TX",
            "license": "11064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "027124903",
            "state": "TX"
        }
    ],
    "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 17, 2015; 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.