Organization Active NPI

Peck Medical Services

Doing business as Nepenthe Wellness Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cedar Park, TX
National Provider Identifier
1861109530
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
PECK MEDICAL SERVICES
Doing business as
Nepenthe Wellness Center
Practice address
1210 Cottonwood Creek TRL Ste 410
Cedar Park, TX 78613-2688
Phone
(513) 240-9274
NPI assigned
Nov 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Authorized official

Name
Christopher Declouet
Title
Ceo
Phone
(512) 240-9274

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Pain Clinic/Center 261QP3300X

Addresses

Primary practice location

1210 Cottonwood Creek TRL Ste 410
Cedar Park, TX 78613-2688

Mailing address

1210 Cottonwood Creek TRL Ste 410
Cedar Park, TX 78613-2688
Phone (512) 240-9274

Other names 1

  • Nepenthe Wellness Center Doing business as

National Provider Directory

National Provider Directory

Locations

1210 Cottonwood Creek Trl
Ste 410
Cedar Park, TX 78613
Phone (512) 986-7723

NPI Registry JSON

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

{
    "created_epoch": "1667347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781136000000",
    "number": "1861109530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 COTTONWOOD CREEK TRL STE 410",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132688",
            "telephone_number": "512-240-9274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 COTTONWOOD CREEK TRL STE 410",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132688",
            "telephone_number": "513-240-9274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PECK MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-02",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A",
        "authorized_official_last_name": "DECLOUET",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "512-240-9274"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nepenthe Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cedar Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; 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.