Organization Active NPI

Body and Mind Health Care, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • El Paso, TX
National Provider Identifier
1992516686
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
BODY AND MIND HEALTH CARE, LLC
Practice address
1521 Joe Battle Blvd
El Paso, TX 79936-0922
Phone
(808) 216-5179
NPI assigned
Jan 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Authorized official

Name
Dr. Kenyua Nikia Johnson, DNPNPI 1669815478
Title
Psychiatric and Family NP
Phone
(808) 216-5179

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

1521 Joe Battle Blvd
El Paso, TX 79936-0922

Mailing address

12193 Dos Rios Dr
El Paso, TX 79936-0260
Phone (808) 216-5179

Other names 2

  • Body and Mind Health Care, LLC Doing business as
  • University of Texas El paso Doing business as

National Provider Directory

National Provider Directory

Locations

1521 Joe Battle Blvd
El Paso, TX 79936
Phone (915) 521-2200

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": "1736812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736812800000",
    "number": "1992516686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12193 DOS RIOS DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799360260",
            "telephone_number": "808-216-5179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 JOE BATTLE BLVD",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799360922",
            "telephone_number": "808-216-5179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY AND MIND HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-14",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KENYUA",
        "authorized_official_middle_name": "NIKIA",
        "authorized_official_title_or_position": "PSYCHIATRIC AND FAMILY NP",
        "authorized_official_telephone_number": "808-216-5179",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Body and Mind Health Care, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "University of Texas El paso",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.