| Ryan Martin, LPC | |
|
2423 Williams Dr Ste 108, Georgetown, TX 78628-3269 | |
| (877) 800-5722 | |
| Not Available |
| Full Name | Ryan Martin |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 2423 Williams Dr Ste 108, Georgetown, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619655396 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 87571 (Texas) | Secondary |
| 101YP2500X | Counselor - Professional | 87571 (Texas) | Primary |
| Entity Name | Lone Star Circle of Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891746970 PECOS PAC ID: 5193709392 Enrollment ID: O20040622000184 |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Martin, LPC 2423 Williams Dr Ste 107, Georgetown, TX 78628-3269 Ph: (877) 800-5722 | Ryan Martin, LPC 2423 Williams Dr Ste 108, Georgetown, TX 78628-3269 Ph: (877) 800-5722 |
Dr. Terry W Cook, LPC, NCC, MAC Counselor Medicare: Medicare Enrolled Practice Location: 100 Cactus Bend Cv, Georgetown, TX 78633 Phone: 512-863-6180 |
Shauna Donovan Knutson, LPC-ASSOCIATE Counselor Medicare: Not Enrolled in Medicare Practice Location: 213 Sinuso Dr, Georgetown, TX 78628 Phone: 512-256-3233 |
Vienna Michaelsen, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 E 7th St, Georgetown, TX 78626 Phone: 737-235-8532 |
Kristen V Thierolf, MS, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 4118 Williams Dr, Georgetown, TX 78628 Phone: 512-651-1009 |
Rhonda B Smith, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 404 W 9th St Ste 104, Georgetown, TX 78626 Phone: 512-635-6130 |
Terise Robin Boggs, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3613 Williams Dr Ste 302, Georgetown, TX 78628 Phone: 512-317-9763 |
Brenda Bridges, LMFT Counselor Medicare: Accepting Medicare Assignments Practice Location: 1113 Moonlight Terrace Dr, Georgetown, TX 78628 Phone: 512-791-7401 |