Organization Active NPI

Lucentra Wellness Group LLC

  • Community/Behavioral Health Agency
  • Houston, TX
National Provider Identifier
1770373409
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LUCENTRA WELLNESS GROUP LLC
Practice address
801 Travis Street Suite 210 Pmb1656
Houston, TX 77002-5719
Phone
(888) 314-0630
NPI assigned
May 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Authorized official

Name
Brandon Sims
Title
Ceo
Phone
(252) 315-5165

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

801 Travis Street Suite 210 Pmb1656
Houston, TX 77002-5719

Mailing address

801 Travis Street Suite 210 Pmb1656
Houston, TX 77002-5719
Phone (888) 314-0630

National Provider Directory

National Provider Directory

Locations

801 Travis St
Ste 210
Houston, TX 77002
Phone (888) 314-0630

NPI Registry JSON

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

{
    "created_epoch": "1746576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746576000000",
    "number": "1770373409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 TRAVIS STREET SUITE 210 PMB1656",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770025719",
            "telephone_number": "888-314-0630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 TRAVIS STREET SUITE 210 PMB1656",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770025719",
            "telephone_number": "888-314-0630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCENTRA WELLNESS GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-07",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A",
        "authorized_official_last_name": "SIMS",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "252-315-5165"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; 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.