| Jake Rasberry, | |
|
11754 Jollyville Rd Ste 110, Austin, TX 78759-3948 | |
| (512) 331-2700 | |
| Not Available |
| Full Name | Jake Rasberry |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 11754 Jollyville Rd Ste 110, Austin, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992483887 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 86392 (Texas) | Primary |
| Entity Name | The Timothy Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902183577 PECOS PAC ID: 0042722159 Enrollment ID: O20250624003942 |
| Mailing Address | Practice Location Address |
|---|---|
| Jake Rasberry, 11754 Jollyville Rd Ste 110, Austin, TX 78759-3948 Ph: (512) 331-2700 | Jake Rasberry, 11754 Jollyville Rd Ste 110, Austin, TX 78759-3948 Ph: (512) 331-2700 |
Mr. David A Miller, LPC, MED Counselor Medicare: Not Enrolled in Medicare Practice Location: 1001 West Ave Ste B, Austin, TX 78701 Phone: 512-608-2024 |
Ms. Virginia Adams Bloom, MED, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1310 S 1st St Ste 200, Austin, TX 78704 Phone: 512-627-0390 Fax: 512-288-1909 |
Mr. Vox Bd Vandyke, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2212 Tom Miller St, Austin, TX 78723 Phone: 978-407-3133 |
Trina K Bluford Ita, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 910 E Cesar Chavez St, Austin, TX 78702 Phone: 888-823-9194 Fax: 888-708-9413 |
Dr. Dynetta Clark, LPC-S, LPC, LMHC Counselor Medicare: May Accept Medicare Assignments Practice Location: 5900 Balcones Dr Ste 4000, Austin, TX 78731 Phone: 512-200-3926 |
Laura Violeta Duenas-guerrero, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2525 Wallingwood Dr, Bldg. 8, Ste. 800, Austin, TX 78746 Phone: 512-348-8713 |
Paula Nicholas Storrer, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2404 W 8th St, Austin, TX 78703 Phone: 512-925-2412 |