Hiatus Wellness LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

HIATUS WELLNESS LLC

Practice address

1205 N Hwy 123 Ste 305
San Marcos, TX 78666-7756

Phone

(512) 522-9811

Fax

(888) 974-0284

NPI assigned

Nov 13, 2020

Last updated

Nov 13, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jennifer Denitra Popovich, LPC-SNPI 1801298344

Title

Owner

Phone

(512) 522-9811

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Denitra Popovich, LPC, NCC, CDWF, MAC

  • Professional Counselor
  • San Marcos, TX
  • NPI 1801298344
  NPD Authorized official
• Christopher John Robert Popovich, LCDC

  • Addiction (Substance Use Disorder) Counselor
  • San Marcos, TX
  • NPI 1548726086
  NPD (past)

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

{
    "created_epoch": "1605225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605225600000",
    "number": "1891397949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 N HWY 123 STE 305",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667756",
            "telephone_number": "512-522-9811",
            "fax_number": "888-974-0284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 N HWY 123 STE 305",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667756",
            "telephone_number": "512-522-9811",
            "fax_number": "888-974-0284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIATUS WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-13",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-09",
        "status": "A",
        "authorized_official_last_name": "POPOVICH",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "DENITRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-522-9811",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC-S"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI 1",
            "identifier": "1801298344",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Josselyn Hernandez
• Veronica Ramirez Hernandez, COTA
• Robert W Herndon, LCSW
• Emily Herring
• Tara Michelle Hessel, FNP
• Maria Higgins, CCC-SLP
• Hill Country Emergency Medical Associates PA
• Hill Country Emergency Physicians PA
• Hill Country Food Doctor
• Hill Country Mec, LP (Central Texas Clinic)

• Mental Health Counselor in San Marcos, TX
• Providers in San Marcos, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; 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.