Organization Active NPI

Luminos Wellness Retreat LLC

  • Rehabilitation Clinic/Center
  • Georgetown, TX
National Provider Identifier
1891675047
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
LUMINOS WELLNESS RETREAT LLC
Practice address
1811 N Austin Ave Ste 204
Georgetown, TX 78626-4628
Phone
(512) 688-5432
NPI assigned
Sep 6, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Authorized official

Name
Mark Weiss
Title
Managing Director
Phone
(302) 586-4667

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

1811 N Austin Ave Ste 204
Georgetown, TX 78626-4628

Mailing address

PO Box 1027
Liberty Hill, TX 78642-1027
Phone (302) 586-4667

National Provider Directory

National Provider Directory

Locations

1811 N Austin Ave
Ste 204
Georgetown, TX 78626
Phone (512) 688-5432

NPI Registry JSON

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

{
    "created_epoch": "1757116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757635200000",
    "number": "1891675047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1027",
            "city": "LIBERTY HILL",
            "state": "TX",
            "postal_code": "786421027",
            "telephone_number": "302-586-4667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 N AUSTIN AVE STE 204",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786264628",
            "telephone_number": "512-688-5432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMINOS WELLNESS RETREAT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-06",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "302-586-4667"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; 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.