Organization Active NPI

National Mentor Healthcare

Doing business as Texas MENTOR

  • Clinical Social Worker
  • Austin, TX
National Provider Identifier
1861607186
Registry record updated Mar 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
30997 Issued in TX
Legal business name
NATIONAL MENTOR HEALTHCARE
Doing business as
Texas MENTOR
Practice address
4150 Freidrich LN BLDG N
Suite G
Austin, TX 78744-1800
Phone
(512) 326-8866
Fax
(512) 326-4102
NPI assigned
May 11, 2007
Last updated
Mar 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2023

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

Authorized official

Name
Brett Ian Cohen
Title
Coo
Phone
(800) 388-5150

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 30997 TX Primary
Case Management Agency 251B00000X 0000H08EW TX
Foster Care Agency 253J00000X 0000H08EW TX

Addresses

Primary practice location

4150 Freidrich LN BLDG N
Suite G
Austin, TX 78744-1800

Mailing address

313 Congress St
Boston, MA 02210-1218
Phone (800) 388-5150

Other names 1

  • Texas MENTOR Doing business as

National Provider Directory

National Provider Directory
Tax ID family
National Mentor Healthcare336 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 1

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

4150 Freidrich Ln
Bldg N
Austin, TX 78744
Phone (512) 326-8866

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679184000000",
    "number": "1861607186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 CONGRESS ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022101218",
            "telephone_number": "800-388-5150",
            "fax_number": "617-790-4271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 FREIDRICH LN BLDG N",
            "address_2": "SUITE G",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787441800",
            "telephone_number": "512-326-8866",
            "fax_number": "512-326-4102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL MENTOR HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2023-03-19",
        "certification_date": "2023-03-19",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "IAN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "800-388-5150"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "30997",
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "TX",
            "license": "0000H08EW",
            "primary": false
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "TX",
            "license": "0000H08EW",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas MENTOR",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Texas MENTOR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2023; 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.