NPIMap

Organization Active NPI

Mandala Counseling & Trauma Therapy Center LLC

  • Professional Counselor
  • Brownsville, TX
National Provider Identifier
1871185090
Registry record updated Sep 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
MANDALA COUNSELING & TRAUMA THERAPY CENTER LLC
Practice address
1534 E 6TH St Ste 102
Brownsville, TX 78520-7239
Phone
(956) 275-3232
Fax
(956) 338-2994
NPI assigned
Feb 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2021

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

Authorized official

Name
Mr. Daniel Vidaurri
Title
Office Manager
Phone
(210) 675-0066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

1534 E 6TH St Ste 102
Brownsville, TX 78520-7239

Mailing address

1534 E 6TH St Ste 102
Brownsville, TX 78520-7239
Phone (956) 275-3232

National Provider Directory

National Provider Directory

Locations

30 Providencia Ct
Ste 5K
Brownsville, TX 78526
Phone (956) 338-2987

1534 E 6th St
Ste 102
Brownsville, TX 78520
Phone (956) 275-3232

Practitioners & affiliated clinicians

Practitioners 6

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": "1612828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632700800000",
    "number": "1871185090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1534 E 6TH ST STE 102",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785207239",
            "telephone_number": "956-275-3232",
            "fax_number": "956-338-2994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1534 E 6TH ST STE 102",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785207239",
            "telephone_number": "956-275-3232",
            "fax_number": "956-338-2994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANDALA COUNSELING & TRAUMA THERAPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-09",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A",
        "authorized_official_last_name": "VIDAURRI",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "210-675-0066",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; 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.