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
Last updated
Oct 29, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2007

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

Authorized official

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.

Specialties & licenses 1

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

Addresses

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

IdentifierTypeStateIssuer
B1048075 UPINOtherTXBLUE CROSS/BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 1

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": "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.