| Ms Kathryn J Adams, LPC-ASSOCIATE | |
|
1 Chisholm Trail Rd Bldg 1, Round Rock, TX 78681-5008 | |
| (512) 956-6463 | |
| (866) 653-5142 |
| Full Name | Ms Kathryn J Adams |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 1 Chisholm Trail Rd Bldg 1, Round Rock, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568294247 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 86886 (Texas) | Primary |
| Entity Name | Deep Eddy Psychotherapy Management, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457740862 PECOS PAC ID: 2264886936 Enrollment ID: O20230928002745 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Kathryn J Adams, LPC-ASSOCIATE 5433 205 Loop Apt 272, Temple, TX 76502-4018 Ph: (254) 410-4170 | Ms Kathryn J Adams, LPC-ASSOCIATE 1 Chisholm Trail Rd Bldg 1, Round Rock, TX 78681-5008 Ph: (512) 956-6463 |
Amanda Papenfus, LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1009 N Georgetown St, Round Rock, TX 78664 Phone: 512-255-1720 | |
Rocio Avila-salinas, LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 6033 Toscana Trce, Round Rock, TX 78665 Phone: 512-436-3657 | |
Leah Benveniste, LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1009 N Georgetown St, Round Rock, TX 78664 Phone: 512-255-1720 | |
Leslie Weinfeld, MAHS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1930 Rawhide Dr, Ste 302, Round Rock, TX 78681 Phone: 512-246-2232 | |
Casey James, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2337 Friarcreek Loop, Round Rock, TX 78664 Phone: 737-999-3007 | |
Miss Iris Elizabeth Hackett, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 N. Ih 35, 315 Pmb 182, Round Rock, TX 78681 Phone: 512-587-7440 Fax: 512-218-4150 | |
Rachel Rainey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8617 Glen Canyon Dr, Round Rock, TX 78681 Phone: 512-560-7159 |