NPIMap

Organization Active NPI

Cedar Creek Wellness Group

  • Psychiatric/Mental Health Nurse Practitioner
  • Gun Barrel City, TX
National Provider Identifier
1922648310
Registry record updated Aug 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
CEDAR CREEK WELLNESS GROUP
Practice address
1837 W Main St
Gun Barrel City, TX 75156-4401
Phone
(903) 910-2294
Fax
(949) 577-4350
NPI assigned
Jan 14, 2020
Last updated
Aug 30, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2020

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

Authorized official

Name
Lauren Kay Hughes, APRN, PMHNP-BCNPI 1083165872
Title
Co-Owner
Phone
(817) 675-1335

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Psychiatric/Mental Health Nurse Practitioner 363LP0808X Primary

Addresses

Primary practice location

1837 W Main St
Gun Barrel City, TX 75156-4401

Mailing address

188 Rueda Encina St
Gun Barrel City, TX 75156-4302
Phone (817) 675-1335

National Provider Directory

National Provider Directory

Locations

1837 W Main St
Gun Barrel City, TX 75156
Phone (903) 910-2294

331 N Gun Barrel Ln
Gun Barrel City, TX 75156
Phone (903) 203-8434

Practitioners & affiliated clinicians

Practitioners 10

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": "1578960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598745600000",
    "number": "1922648310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 RUEDA ENCINA ST",
            "city": "GUN BARREL CITY",
            "state": "TX",
            "postal_code": "751564302",
            "telephone_number": "817-675-1335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1837 W MAIN ST",
            "city": "GUN BARREL CITY",
            "state": "TX",
            "postal_code": "751564401",
            "telephone_number": "903-910-2294",
            "fax_number": "949-577-4350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR CREEK WELLNESS GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-14",
        "last_updated": "2020-08-30",
        "certification_date": "2020-08-30",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "817-675-1335",
        "authorized_official_credential": "APRN, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gun Barrel City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.