Organization Active NPI

Peace of Mind Mental Health and Wellness, LLC

  • Clinical Social Worker
  • Windcrest, TX
National Provider Identifier
1902407638
Registry record updated Jun 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
PEACE OF MIND MENTAL HEALTH AND WELLNESS, LLC
Practice address
8940 Fourwinds Dr Ste 143
Windcrest, TX 78239-1958
Phone
(210) 446-7141
NPI assigned
Nov 9, 2020
Last updated
Jun 7, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2021

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

Authorized official

Name
Chelsea A Scott, LCSW
Title
Owner
Phone
(210) 710-4472

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

8940 Fourwinds Dr Ste 143
Windcrest, TX 78239-1958

Mailing address

8940 Fourwinds Dr Ste 143
Windcrest, TX 78239-1958
Phone (210) 446-7141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210506001913 TX Part B Supplier - Clinic/Group Practice 4789093543 Receives reassigned benefits from 1 practitioner
Practice locations: Windcrest, TX

National Provider Directory

National Provider Directory

Locations

8940 Fourwinds Dr
Ste 143
Windcrest, TX 78239
Phone (210) 446-7141

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623024000000",
    "number": "1902407638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8940 FOURWINDS DR STE 143",
            "city": "WINDCREST",
            "state": "TX",
            "postal_code": "782391958",
            "telephone_number": "210-446-7141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8940 FOURWINDS DR STE 143",
            "city": "WINDCREST",
            "state": "TX",
            "postal_code": "782391958",
            "telephone_number": "210-446-7141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE OF MIND MENTAL HEALTH AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-09",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-01",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "CHELSEA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-710-4472",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windcrest, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.