Organization Active NPI

West Texas Treatment Center

  • Community/Behavioral Health Agency
  • El Paso, TX
National Provider Identifier
1740469634
Registry record updated Oct 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
18932 Issued in TX
Legal business name
WEST TEXAS TREATMENT CENTER
Practice address
1790 N Lee Trevino Dr
#203
El Paso, TX 79936-4545
Phone
(915) 613-0030
Fax
(915) 594-7101
NPI assigned
Oct 29, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. Samuel Lee MarcelNPI 1740376300
Title
Owner/LPC
Phone
(915) 613-0030

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Locations

1790 N Lee Trevino Dr
Ste 203
El Paso, TX 79936
Phone (915) 613-0030

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 18932 TX Primary

Addresses

NPPES NPI Registry

Primary practice location

1790 N Lee Trevino Dr
#203
El Paso, TX 79936-4545

Mailing address

1790 N Lee Trevino Dr
#203
El Paso, TX 79936-4545
Phone (915) 613-0030

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
B1048075 UPINOtherTXBLUE CROSS/BLUE SHIELD

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 29, 2007.

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193616000000",
    "number": "1740469634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1790 N LEE TREVINO DR",
            "address_2": "#203",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799364545",
            "telephone_number": "915-613-0030",
            "fax_number": "915-594-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 N LEE TREVINO DR",
            "address_2": "#203",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799364545",
            "telephone_number": "915-613-0030",
            "fax_number": "915-594-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST TEXAS TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-29",
        "last_updated": "2007-10-29",
        "status": "A",
        "authorized_official_last_name": "MARCEL",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER/LPC",
        "authorized_official_telephone_number": "915-613-0030",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": "18932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "B1048075 UPIN",
            "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 Oct 29, 2007; 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.