Active NPI
Origins Wellness PLLC
- Health Service Clinic/Center
- Fort Worth, TX
National Provider Identifier
1851086607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- ORIGINS WELLNESS PLLC
- Practice address
- 10345 Alta Vista Rd
Fort Worth, TX 76244-6501 - Phone
- (817) 562-2828
- Fax
- (817) 768-6940
- NPI assigned
- Apr 7, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ame Cochenour
- Title
- Financial Director
- Phone
- (817) 697-4345
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | Primary |
Addresses
Primary practice location
10345 Alta Vista Rd
Fort Worth, TX 76244-6501
Mailing address
10345 Alta Vista Rd
Fort Worth, TX 76244-6501
Phone (817) 562-2828
Other practice location 1
3102 Swiss Ave
Dallas, TX 75204-6025
Phone (469) 291-9129
National Provider Directory
National Provider DirectoryLocations
10345 Alta Vista Rd
Fort Worth, TX 76244
Phone (682) 235-3816
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Midwife
- Fort Worth, TX
- NPI 1033449822
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680825600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718582400000",
"number": "1851086607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10345 ALTA VISTA RD",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "762446501",
"telephone_number": "817-562-2828",
"fax_number": "817-768-6940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10345 ALTA VISTA RD",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "762446501",
"telephone_number": "817-562-2828",
"fax_number": "817-768-6940"
}
],
"practiceLocations": [
{
"address_1": "3102 Swiss Ave",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752046025",
"country_code": "US",
"telephone_number": "469-291-9129",
"fax_number": "214-821-9040",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ORIGINS WELLNESS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-07",
"last_updated": "2024-06-17",
"certification_date": "2024-06-17",
"status": "A",
"authorized_official_last_name": "COCHENOUR",
"authorized_official_first_name": "AME",
"authorized_official_title_or_position": "FINANCIAL DIRECTOR",
"authorized_official_telephone_number": "817-697-4345"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.