| Richard Amiss, LPC, NCC | |
|
1426 E Main St Ste 300-400, Fredericksburg, TX 78624-5308 | |
| (830) 992-3725 | |
| (830) 992-3724 |
| Full Name | Richard Amiss |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 1426 E Main St Ste 300-400, Fredericksburg, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922154004 | NPI | - | NPPES |
| 028672602 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 16808 (Texas) | Primary |
| Entity Name | Frontera Healthcare Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235381088 PECOS PAC ID: 8426142522 Enrollment ID: O20160907002398 |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Amiss, LPC, NCC Po Box 669, Menard, TX 76859-0669 Ph: (325) 869-5500 | Richard Amiss, LPC, NCC 1426 E Main St Ste 300-400, Fredericksburg, TX 78624-5308 Ph: (830) 992-3725 |
Dr. Desiree Lynne Misanko, M.A., PSY.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 705 N Pecan St, Fredericksburg, TX 78624 Phone: 775-750-2033 | |
Quynh H. Lee, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 140 Industrial Loop Ste 200, Fredericksburg, TX 78624 Phone: 830-997-8023 | |
Dr. Jenny Rebecca Moores, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 607 N Milam St, Fredericksburg, TX 78624 Phone: 281-806-1229 | |
Mrs. Rene Carlisle Pennington, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 211 S Buckhorn Trl, Fredericksburg, TX 78624 Phone: 830-990-4680 | |
Mr. Larry Eldon Burson, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 307 W Main St, Suite 204, Fredericksburg, TX 78624 Phone: 830-997-4662 Fax: 830-990-8102 | |
Tommy Russell, LPC A Counselor Medicare: Not Enrolled in Medicare Practice Location: 103 Industrial Loop Ste 900, Fredericksburg, TX 78624 Phone: 803-998-8710 | |
Ms. Leslie Wimberley Harper, MED Counselor Medicare: Not Enrolled in Medicare Practice Location: 312 W San Antonio Street, Suite 207, Fredericksburg, TX 78624 Phone: 830-990-9536 Fax: 830-990-9536 |