MHMR AUTHORITY OF BRAZOS VALLEY
NPI 1912296013
Community/Behavioral Health in Bryan, TX

NPI Status: Active since March 30, 2011

Contact Information

804 S TEXAS AVE
BRYAN, TX
ZIP 77803
Phone: (979) 822-6467
Fax: (979) 821-9448

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  • Organization
  • Community/Behavioral Health

About MHMR AUTHORITY OF BRAZOS VALLEY

This page provides the complete NPI Profile along with additional information for Mhmr Authority Of Brazos Valley, a provider established in Bryan, Texas operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1912296013 assigned on March 2011. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Bill Kelly (Executive Director)

NPI
1912296013
Provider Name
MHMR AUTHORITY OF BRAZOS VALLEY
Entity Type
Organization
Location Address
804 S TEXAS AVE BRYAN, TX 77803
Location Phone
(979) 822-6467
Location Fax
(979) 821-9448
Mailing Address
PO BOX 4588 BRYAN, TX 77805
Mailing Phone
(979) 822-6467
Mailing Fax
(979) 821-9448
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-30-2011
Last Update Date
03-30-2011
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

BILL KELLY

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(979) 822-6467

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
JH49MEDICARE UPIN (02)TX 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1912296013
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2922491202
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 2 + 2 + 4 + 9 + 1 + 2 + 0 + 2 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1912296013 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 8 providers are registered at the same or nearby location.

MHMR AUTHORITY OF BRAZOS VALLEY

Counselor

(Mental Health)

804 S TEXAS AVE
BRYAN, TX
ZIP 77803

(979) 220-2881

DR. JESSICA LYNNE HALL PH.D.

Counselor

(Mental Health)

804 S TEXAS AVE
BRYAN, TX
ZIP 77803

(979) 822-6467

MRS. DIANA HOFSTETTER LPC

Counselor

(Mental Health)

804 S TEXAS AVE
BRYAN, TX
ZIP 77803

(979) 361-9851

ELIZABETH BOGGESS LPC

Counselor

(Professional)

804 S TEXAS AVE
BRYAN, TX
ZIP 77803

(979) 361-1273

GREGORY BRIGANDO LPC

Counselor

(Professional)

804 S TEXAS AVE
BRYAN, TX
ZIP 77803

(979) 361-9815

MHMRA OF BRAZOS VALLEY

Clinic/Center

(Mental Health (Including Community Mental Health Center))

804 S TEXAS AVE
BRYAN, TX
ZIP 77803

(979) 822-6467

KIMBERLYN DAIRY

Nurse Practitioner

(Psychiatric/Mental Health)

804 S TEXAS AVE
BRYAN, TX
ZIP 77803

(979) 361-1201

BRAZOS VALLEY COMMUNITY ACTION AGENCY, INC.

Clinic/Center

(Federally Qualified Health Center (FQHC))

804 S TEXAS AVE
BRYAN, TX
ZIP 77803

(979) 596-5828

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912296013, enumerated as an "organization" on March 30, 2011.

The provider is located at 804 S TEXAS AVE BRYAN, TX 77803 and the phone number is (979) 822-6467.

Community/Behavioral Health with taxonomy code 251S00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.