Healthy Minds Counseling Center

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

HEALTHY MINDS COUNSELING CENTER

Practice address

2700 S Fort Hood St Ste C
Killeen, TX 76542-2300

Phone

(254) 247-4705

Fax

(254) 226-3132

NPI assigned

Mar 18, 2020

Last updated

Mar 18, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Maria M Medina, PH.D.NPI 1114101755

Title

Clinical Psychologist

Phone

(254) 247-4705

Specialties & licenses 4

Addresses

Other names 1

• Healthy Minds Counseling Center Former legal business name

Electronic endpoints 1

Locations

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.

• Maria Maura Medina, LPC, LMFT, LCDC

  • Marriage & Family Therapist
  • Harker Heights, TX
  • NPI 1114101755
  NPD Authorized official
• Brian Shepherd, MA

  • Professional Counselor
  • Harker Heights, TX
  • NPI 1629422951
  NPD

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

{
    "created_epoch": "1584489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584489600000",
    "number": "1700412020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 SUMMER GLEN DR",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765488807",
            "telephone_number": "254-247-4705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 S FORT HOOD ST STE C",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765422300",
            "telephone_number": "254-247-4705",
            "fax_number": "254-226-3132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY MINDS COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-18",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "254-247-4705",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "maria.medina98@yahoo.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2700 S Fort Hood St Ste C",
            "city": "Killeen",
            "state": "TX",
            "country_code": "US",
            "postal_code": "765422300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Healthy Minds Counseling Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Jessica Jane Hayhurst, MOT
• Kerricia Peta Gaye Haynes
• Layetta Haynes
• Abigail Hazlewood
• Joy Heady, OTR, MOT
• Healthy Mindsets Therapy, PLLC
• Heart of Gold Adult Day Care LLC (Heart Of Gold Transportation Company)
• Heart of Gold Adult Day Care LLC (Heart of Gold Adult Day Care)
• Heart of Gold Group Home LLC
• Heart of Gold Home Health Care LLC

• Clinical Psychologist in Killeen, TX
• Providers in Killeen, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2020; 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.