Organization Active NPI

Benwood Counseling Service, LLC

  • Mental Health Counselor
  • Corpus Christi, TX
National Provider Identifier
1932237906
Registry record updated Jul 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
16729 Issued in TX
Legal business name
BENWOOD COUNSELING SERVICE, LLC
Practice address
6500 S Padre Island Dr
2
Corpus Christi, TX 78412-4065
Phone
(361) 853-0091
Fax
(361) 853-2502
NPI assigned
Mar 1, 2007
Last updated
Jul 10, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2013

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

Authorized official

Name
Victoria DavisNPI 1114975448
Title
Owner
Phone
(361) 853-0091

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
Mental Health Counselor 101YM0800X 16729 TX Primary

Addresses

Primary practice location

6500 S Padre Island Dr
2
Corpus Christi, TX 78412-4065

Mailing address

6500 S Padre Island Dr
2
Corpus Christi, TX 78412-4065
Phone (361) 853-0091

Other identifiers 2

IdentifierTypeStateIssuer
1114975448OtherTXNPI
143058902MedicaidTX

National Provider Directory

National Provider Directory

Locations

4949 Everhart Rd
Ste 104
Corpus Christi, TX 78411
Phone (361) 658-7336

6500 S Padre Island Dr
Ste 2
Corpus Christi, TX 78412
Phone (361) 853-0091

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": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373414400000",
    "number": "1932237906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 S PADRE ISLAND DR",
            "address_2": "2",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784124065",
            "telephone_number": "361-853-0091",
            "fax_number": "361-853-2502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 S PADRE ISLAND DR",
            "address_2": "2",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784124065",
            "telephone_number": "361-853-0091",
            "fax_number": "361-853-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENWOOD COUNSELING SERVICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2013-07-10",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-853-0091"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "16729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1114975448",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143058902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2013; 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.