Organization Active NPI

A Wallace Mental Health Services, LLC

Doing business as Blessed Beginnings Mental Health

  • Psychiatric/Mental Health Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1952164063
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
A WALLACE MENTAL HEALTH SERVICES, LLC
Doing business as
Blessed Beginnings Mental Health
Practice address
4241 E Piedras Dr Ste 118
San Antonio, TX 78228-1422
Phone
(210) 301-0031
Fax
(210) 301-0031
NPI assigned
Feb 1, 2024
Last updated
Jan 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Authorized official

Name
Alexandrea Irene Wallace, APRN, PHMPN-BCNPI 1740993252
Title
Owner
Phone
(210) 836-7593

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
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

4241 E Piedras Dr Ste 118
San Antonio, TX 78228-1422

Mailing address

8604 Clipper HBR
San Antonio, TX 78253-6753
Phone (210) 836-7593

Other names 1

  • Blessed Beginnings Mental Health Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1706745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1952164063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8604 CLIPPER HBR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782536753",
            "telephone_number": "210-836-7593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4241 E PIEDRAS DR STE 118",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782281422",
            "telephone_number": "210-301-0031",
            "fax_number": "210-301-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A WALLACE MENTAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-01",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "ALEXANDREA",
        "authorized_official_middle_name": "IRENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-836-7593",
        "authorized_official_credential": "APRN, PHMPN-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blessed Beginnings Mental Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Blessed Beginnings Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.