Longview Wellness Center Inc
Organization Active NPI Federally Qualified Health Center (FQHC) · Longview, TX
NPI 1750187159 · NPPES record last updated Nov 14, 2025
Key facts
- NPI
- 1750187159
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- LONGVIEW WELLNESS CENTER INC
- Practice address
- 422 FM 2751
Longview, TX 75605-7256 - Phone
- (903) 758-2610
- Fax
- (903) 758-7081
- NPI assigned
- Feb 25, 2025
- Organization subpart
- Yes
- Parent organization (as reported)
- LONGVIEW WELLNESS CENTER INC
Authorized official
- Name
- Timothy Chad Jones
- Title
- Ceo
- Phone
- (903) 758-2610
Other NPIs on the same Medicare enrollment 27
Corporate family (same tax ID) 27
Practitioners 2
-
Randy Ranshawn Moore, PA-C
-
Harold Campbell, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050714001046 | TX | Part B Supplier - Clinic/Group Practice | 1254367766 |
Receives reassigned benefits from 130 practitioners 27 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Longview, TX; Mount Pleasant, TX; Tyler, TX; Gilmer, TX; Kilgore, TX |
National Provider Directory
- Tax ID family
- Longview Wellness Center Inc
- Part of
- Longview Wellness Center Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | |||
| Professional Counselor |
101YP2500X | |||
| Clinical Social Worker |
1041C0700X | |||
| Case Manager/Care Coordinator |
171M00000X | |||
| Family Medicine Physician |
207Q00000X | |||
| Obstetrics & Gynecology Physician |
207V00000X | |||
| Pediatrics Physician |
208000000X | |||
| General Practice Physician |
208D00000X | |||
| Case Management Agency | 251B00000X | |||
| Ambulatory Family Planning Facility | 261QA0005X | |||
| Non-Surgical Family Planning Clinic/Center | 261QF0050X | |||
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes | ||
| Multi-Specialty Clinic/Center | 261QM1300X | |||
| Primary Care Clinic/Center | 261QP2300X |
Addresses
Primary practice location
422 FM 2751
Longview, TX 75605-7256
Mailing address
1107 E Marshall Ave
Longview, TX 75601-5602
Phone (903) 758-2610
Other names
- Wellness Pointe
NPI Registry JSON
{
"created_epoch": "1740441600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763078400000",
"number": "1750187159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1107 E MARSHALL AVE",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756015602",
"telephone_number": "903-758-2610",
"fax_number": "903-758-7081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "422 FM 2751",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756057256",
"telephone_number": "903-758-2610",
"fax_number": "903-758-7081"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LONGVIEW WELLNESS CENTER INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LONGVIEW WELLNESS CENTER INC",
"enumeration_date": "2025-02-25",
"last_updated": "2025-11-14",
"certification_date": "2025-11-14",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_middle_name": "CHAD",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "903-758-2610"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QA0005X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Family Planning Facility",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QF0050X",
"taxonomy_group": "",
"desc": "Clinic/Center, Family Planning, Non-Surgical",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Wellness Pointe",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Longview, TX
- Longview Wellness Center Inc
- Longview Wellness Center Inc
- Longview Wellness Center Inc
- Longview Wellness Center Inc
- Longview Wellness Center Inc
- Longview Wellness Center Inc
- Longview Wellness Center Inc
- Longview Wellness Center Inc
- Longview Wellness Center Inc
- Longview Wellness Center Inc
All providers in Longview, TX · Federally Qualified Health Center (FQHC) in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.