Organization Active NPI

Art and Healing Wellness Center, LLC

  • Professional Counselor
  • Brownsville, TX
National Provider Identifier
1992576656
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
ART AND HEALING WELLNESS CENTER, LLC
Practice address
880 Ridgewood St Ste 4
Brownsville, TX 78520-8466
Phone
(210) 675-0066
Fax
(210) 675-0066
NPI assigned
Jan 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Authorized official

Name
Mr. Daniel Vidaurri
Title
Office and Billing Manager
Phone
(210) 675-0066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

880 Ridgewood St Ste 4
Brownsville, TX 78520-8466

Mailing address

1314 W Saint Charles St
Brownsville, TX 78520-6504
Phone (956) 639-7172

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240321000787 TX Part B Supplier - Clinic/Group Practice 0941647366 Receives reassigned benefits from 1 practitioner
Practice locations: Brownsville, TX

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.

NPI Registry JSON

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

{
    "created_epoch": "1704931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1992576656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 W SAINT CHARLES ST",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785206504",
            "telephone_number": "956-639-7172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 RIDGEWOOD ST STE 4",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785208466",
            "telephone_number": "210-675-0066",
            "fax_number": "210-675-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ART AND HEALING WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-11",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A",
        "authorized_official_last_name": "VIDAURRI",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OFFICE AND BILLING MANAGER",
        "authorized_official_telephone_number": "210-675-0066",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.