Organization Active NPI

Buena Vida Family Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Arlington, TX
National Provider Identifier
1689166464
Registry record updated Jun 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
BUENA VIDA FAMILY CENTER
Practice address
1714 S Cooper St
Arlington, TX 76013-3939
Phone
(817) 376-9841
Fax
(972) 236-0092
NPI assigned
Jun 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2018

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

Authorized official

Name
Elizabeth Ann Cazares, LMSWNPI 1144148131
Title
Office Manager
Phone
(817) 376-9841

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 Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1714 S Cooper St
Arlington, TX 76013-3939

Mailing address

1714 S Cooper St
Arlington, TX 76013-3939
Phone (817) 376-9841

Other identifiers 1

IdentifierTypeStateIssuer
1326466558MedicaidTX

National Provider Directory

National Provider Directory

Locations

1714 S Cooper St
Arlington, TX 76013
Phone (817) 376-9841

Practitioners & affiliated clinicians

Practitioners 2

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": "1528243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528243200000",
    "number": "1689166464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1714 S COOPER ST",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760133939",
            "telephone_number": "817-376-9841",
            "fax_number": "972-236-0092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1714 S COOPER ST",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760133939",
            "telephone_number": "817-376-9841",
            "fax_number": "972-236-0092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUENA VIDA FAMILY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-06",
        "last_updated": "2018-06-06",
        "status": "A",
        "authorized_official_last_name": "CAZARES",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "817-376-9841",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1326466558",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2018; 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.