Organization Active NPI

The Mental Wellness and Behavioral Health Center, PLLC

  • Counselor
  • Sugar Land, TX
National Provider Identifier
1902389935
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
THE MENTAL WELLNESS AND BEHAVIORAL HEALTH CENTER, PLLC
Practice address
52 Sugar Creek Center Blvd Ste 225
Sugar Land, TX 77478-2209
Phone
(346) 242-6663
Fax
(713) 729-1203
NPI assigned
Sep 14, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Cindy Castillo, LPCNPI 1780092668
Title
Psychotherapist
Phone
(346) 242-6663

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

52 Sugar Creek Center Blvd Ste 225
Sugar Land, TX 77478-2209

Mailing address

5300 N Braeswood Blvd Ste 4-626
Houston, TX 77096-3307
Phone (346) 242-6663

Other identifiers 1

IdentifierTypeStateIssuer
3540478-01MedicaidTX

National Provider Directory

National Provider Directory

Locations

5300 N Braeswood Blvd
Ste 4626
Houston, TX 77096

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": "1536883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1902389935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 N BRAESWOOD BLVD STE 4-626",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770963307",
            "telephone_number": "346-242-6663",
            "fax_number": "713-729-1203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 SUGAR CREEK CENTER BLVD STE 225",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774782209",
            "telephone_number": "346-242-6663",
            "fax_number": "713-729-1203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MENTAL WELLNESS AND BEHAVIORAL HEALTH CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-14",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "346-242-6663",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3540478-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.