Organization Active NPI

Veteran Art Therapy

  • Adult Mental Health Clinic/Center
  • Waco, TX
National Provider Identifier
1871016279
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
74997 Issued in TX
Legal business name
VETERAN ART THERAPY
Practice address
305 Stead Dr
Waco, TX 76705-1536
Phone
(580) 647-6427
NPI assigned
Jul 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. Rachel Ann Mims, ATR, LPC-INPI 1215450614
Title
Executive Director, Art Therapist
Phone
(580) 647-6427

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 74997 TX
Adult Mental Health Clinic/Center 261QM0850X 74997 TX Primary

Addresses

Primary practice location

305 Stead Dr
Waco, TX 76705-1536

Mailing address

305 Stead Dr
Waco, TX 76705-1536
Phone (580) 647-6427

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1500336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1871016279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 STEAD DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767051536",
            "telephone_number": "580-647-6427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 STEAD DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767051536",
            "telephone_number": "580-647-6427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VETERAN ART THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-18",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MIMS",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR, ART THERAPIST",
        "authorized_official_telephone_number": "580-647-6427",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ATR, LPC-I"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "TX",
            "license": "74997",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "TX",
            "license": "74997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.