Organization Active NPI

Siloe Mind and Wellness Services, PLLC

  • Professional Counselor
  • El Paso, TX
National Provider Identifier
1669171237
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
SILOE MIND AND WELLNESS SERVICES, PLLC
Practice address
10664 Vista del Sol Dr Ste a
El Paso, TX 79935-4554
Phone
(915) 479-2754
NPI assigned
Mar 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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

Authorized official

Name
Marco Polo Castorena, LPCNPI 1255833141
Title
Director/ Owner
Phone
(915) 479-2754

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
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

10664 Vista del Sol Dr Ste a
El Paso, TX 79935-4554

Mailing address

3456 Chickasaw Dr
El Paso, TX 79936-1261

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidTX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1677715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677715200000",
    "number": "1669171237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3456 CHICKASAW DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799361261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10664 VISTA DEL SOL DR STE A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799354554",
            "telephone_number": "915-479-2754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILOE MIND AND WELLNESS SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-02",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A",
        "authorized_official_last_name": "CASTORENA",
        "authorized_official_first_name": "MARCO",
        "authorized_official_middle_name": "POLO",
        "authorized_official_title_or_position": "DIRECTOR/ OWNER",
        "authorized_official_telephone_number": "915-479-2754",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; 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.