Lakeisha Mcdonald-theodore, LPC in Spring, TX

Lakeisha Mcdonald-theodore, LPC is a medicare enrolled "Counselor - Mental Health" provider in Spring, Texas. Her current practice location is 6514 Fairbrook Park Ln, Spring, Texas. You can reach out to her office (for appointments etc.) via phone at (281) 382-7757.

Lakeisha Mcdonald-theodore is licensed to practice in Texas (license number 78382) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1194114793.

Contact Information

	Lakeisha Mcdonald-theodore, LPC
	6514 Fairbrook Park Ln, Spring, TX 77379-8256
	(281) 382-7757
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Lakeisha Mcdonald-theodore
Gender	Female
Speciality	Counselor - Mental Health
Location	6514 Fairbrook Park Ln, Spring, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194114793
Provider Enumeration Date: 01/20/2015
Last Update Date: 03/17/2018

Medicare PECOS Information:

PECOS PAC ID: 9032584123
Enrollment ID: I20240523004181

Medical Identifiers

Medical identifiers for Lakeisha Mcdonald-theodore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194114793	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YS0200X	Counselor - School	178518 (Mississippi)	Secondary
101YM0800X	Counselor - Mental Health	78382 (Texas)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Lakeisha Mcdonald-theodore allows following entities to bill medicare on her behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220525002138

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lakeisha Mcdonald-theodore is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Lakeisha Mcdonald-theodore, LPC 6514 Fairbrook Park Ln, Spring, TX 77379-8256 Ph: (281) 382-7757	Lakeisha Mcdonald-theodore, LPC 6514 Fairbrook Park Ln, Spring, TX 77379-8256 Ph: (281) 382-7757

Reviews and Comments

Counselor in Spring, TX

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Dr. Annie L Jones, PHD, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 26205 Oak Ridge Dr., Suite 106, Spring, TX 77380 Phone: 936-292-9503 Fax: 281-466-8605
Jennifer L Metzler, LPC, LMFT-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 3806 Brea Ct, Spring, TX 77386 Phone: 832-277-4952

Lakeisha Mcdonald-theodore, LPC - Medicare Counselor in Spring, TX