| Assurasource Ltd | |
|
400 N Allen Dr Ste 204 Allen TX 75013-2568 | |
| (972) 233-1010 | |
| (214) 623-6692 |
| Full Name | Assurasource Ltd |
|---|---|
| Speciality | Social Worker |
| Location | 400 N Allen Dr Ste 204, Allen, Texas |
| Authorized Official Name and Position | Emmanuel Sandoval (PRESIDENT) |
| Authorized Official Contact | 9722331010 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Assurasource Ltd 400 N Allen Dr Ste 204 Allen TX 75013-2568 Ph: (972) 233-1010 | Assurasource Ltd 400 N Allen Dr Ste 204 Allen TX 75013-2568 Ph: (972) 233-1010 |
| NPI Number | 1194746016 |
|---|---|
| Provider Enumeration Date | 07/23/2006 |
| Last Update Date | 09/13/2023 |
| Certification Date | 09/13/2023 |
| Medicare PECOS PAC ID | 8123125580 |
|---|---|
| Medicare Enrollment ID | O20070518000258 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194746016 | NPI | - | NPPES |
| 191481401 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kelvin D Mccoy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043382542 PECOS PAC ID: 6608780465 Enrollment ID: I20031211000231 |
| Provider Name | Mark W Chapman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679559819 PECOS PAC ID: 9537055637 Enrollment ID: I20040225000826 |
| Provider Name | Gail Arline Martin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891984464 PECOS PAC ID: 3476533803 Enrollment ID: I20040724000344 |
| Provider Name | Cynthia A Cashman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225251911 PECOS PAC ID: 8325006927 Enrollment ID: I20041229000566 |
| Provider Name | Catherine P Campbell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003028713 PECOS PAC ID: 7618999525 Enrollment ID: I20051220000515 |
| Provider Name | Robin L Gross |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881637197 PECOS PAC ID: 3678573706 Enrollment ID: I20070116000182 |
| Provider Name | Lucinda J Bassili |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912094327 PECOS PAC ID: 2062504376 Enrollment ID: I20070816000307 |
| Provider Name | Susan Charle Colburn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568579126 PECOS PAC ID: 0042296535 Enrollment ID: I20071024000478 |
| Provider Name | Jamaica Reyes-araujo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407067382 PECOS PAC ID: 6002990322 Enrollment ID: I20080226000391 |
| Provider Name | Linda Soto |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003988965 PECOS PAC ID: 6204994411 Enrollment ID: I20081016000383 |
| Provider Name | Paula K Rietz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235374653 PECOS PAC ID: 0749345882 Enrollment ID: I20090224000466 |
| Provider Name | Linda J Cone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104008671 PECOS PAC ID: 3870659550 Enrollment ID: I20090304000532 |
| Provider Name | Frank Araiza |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588605844 PECOS PAC ID: 2860559077 Enrollment ID: I20090316000044 |
| Provider Name | Sandra S Brackenridge |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235368705 PECOS PAC ID: 8628121001 Enrollment ID: I20090803000242 |
| Provider Name | James E Ballenger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730202466 PECOS PAC ID: 3779639927 Enrollment ID: I20090914000341 |
| Provider Name | Steven Dequeant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851573604 PECOS PAC ID: 5597802074 Enrollment ID: I20091103000087 |
| Provider Name | Edward A Green |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639171515 PECOS PAC ID: 3870634850 Enrollment ID: I20100427000417 |
| Provider Name | Phillip Hawkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225350259 PECOS PAC ID: 2860520038 Enrollment ID: I20100507000715 |
| Provider Name | Barbara Williamson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487864211 PECOS PAC ID: 2062542129 Enrollment ID: I20100616000411 |
| Provider Name | Traci Alisia Perry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215125497 PECOS PAC ID: 4981886462 Enrollment ID: I20110303000884 |
| Provider Name | Dorian Lebeau |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285754473 PECOS PAC ID: 9436331188 Enrollment ID: I20110316000919 |
| Provider Name | Stephanie Marie Gomez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699071969 PECOS PAC ID: 1456534197 Enrollment ID: I20110317000871 |
| Provider Name | Tamu Mckinney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346556701 PECOS PAC ID: 8022291996 Enrollment ID: I20110330000743 |
| Provider Name | Kimberly J Rumczikas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457551079 PECOS PAC ID: 7012195241 Enrollment ID: I20110616000834 |
| Provider Name | Brenda June Casey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831487800 PECOS PAC ID: 0648442053 Enrollment ID: I20111007000054 |
| Provider Name | Tomasita Espinosa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477669729 PECOS PAC ID: 8820255227 Enrollment ID: I20120213000269 |
| Provider Name | Sandra J King |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275805301 PECOS PAC ID: 4587826318 Enrollment ID: I20120424000444 |
| Provider Name | Suzanne James |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639440563 PECOS PAC ID: 3274796602 Enrollment ID: I20120523000325 |
| Provider Name | Virginia Flores |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356608087 PECOS PAC ID: 7719141787 Enrollment ID: I20120605000076 |
| Provider Name | Elizabeth Rodriguez Srouji |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821351149 PECOS PAC ID: 6800047499 Enrollment ID: I20121107000467 |
| Provider Name | Courtney Paige Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326384926 PECOS PAC ID: 6709023849 Enrollment ID: I20130509000556 |
| Provider Name | Enedina E Enriquez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891704052 PECOS PAC ID: 6103821244 Enrollment ID: I20130816000814 |
| Provider Name | Mitchell Hill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790123610 PECOS PAC ID: 1355576406 Enrollment ID: I20131028001370 |
| Provider Name | Mary C Travis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932522729 PECOS PAC ID: 2567695596 Enrollment ID: I20140429000178 |
| Provider Name | Rebecca K Walker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760802391 PECOS PAC ID: 6406071935 Enrollment ID: I20140625002128 |
| Provider Name | Christie Moore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831500222 PECOS PAC ID: 3577788868 Enrollment ID: I20140630000640 |
| Provider Name | Romya Turner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144390881 PECOS PAC ID: 9133398225 Enrollment ID: I20140828001984 |
| Provider Name | Cherissa R Mcconnell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255733028 PECOS PAC ID: 4981926284 Enrollment ID: I20141121001848 |
| Provider Name | Julie Dimock |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225427974 PECOS PAC ID: 6305161878 Enrollment ID: I20150205000465 |
| Provider Name | Felicia A Humphery |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417143348 PECOS PAC ID: 0648596668 Enrollment ID: I20150310000083 |
| Provider Name | Eva Marie Murillo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164805776 PECOS PAC ID: 0749580546 Enrollment ID: I20151201000874 |
| Provider Name | Erica Harris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497140073 PECOS PAC ID: 8325335037 Enrollment ID: I20160923001306 |
| Provider Name | Harriet L Cohen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720535982 PECOS PAC ID: 7618265257 Enrollment ID: I20161013001316 |
| Provider Name | Audra Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477936581 PECOS PAC ID: 0547548851 Enrollment ID: I20161020000961 |
| Provider Name | Phillip Alan Hieger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275084642 PECOS PAC ID: 9931264652 Enrollment ID: I20161114000453 |
| Provider Name | Roman Gabriel Venegas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467704783 PECOS PAC ID: 0840579991 Enrollment ID: I20161114002079 |
| Provider Name | Ramona Roston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487106209 PECOS PAC ID: 4981984317 Enrollment ID: I20161201000376 |
| Provider Name | Eleanor L Burt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275080046 PECOS PAC ID: 9032491352 Enrollment ID: I20170123000703 |
| Provider Name | George Devejian |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780135988 PECOS PAC ID: 9032493259 Enrollment ID: I20170307000132 |
| Provider Name | Debbie M Garcia |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295090371 PECOS PAC ID: 2961624903 Enrollment ID: I20170630001117 |
| Provider Name | Lori Coplen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588194757 PECOS PAC ID: 8325318348 Enrollment ID: I20170725001696 |
| Provider Name | Jazmin Veronik Graham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407243694 PECOS PAC ID: 4880968668 Enrollment ID: I20170918000962 |
| Provider Name | Andrea Urbanek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245761113 PECOS PAC ID: 9234405812 Enrollment ID: I20171026001064 |
| Provider Name | Anne Marie Lamendola |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942728670 PECOS PAC ID: 0648536730 Enrollment ID: I20171106001550 |
| Provider Name | Jennifer Lynn Foreman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548760986 PECOS PAC ID: 9032470695 Enrollment ID: I20180223000885 |
| Provider Name | Lynn Mcpherson Cearley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679533095 PECOS PAC ID: 3971867508 Enrollment ID: I20180508001556 |
| Provider Name | Arun Joshua Mathew |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821265133 PECOS PAC ID: 2860662558 Enrollment ID: I20180509002897 |
| Provider Name | Kenethia Louise Morgan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699112979 PECOS PAC ID: 6507100377 Enrollment ID: I20181205001070 |
| Provider Name | Jaleesa Dunn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538561741 PECOS PAC ID: 0547501421 Enrollment ID: I20190402001182 |
| Provider Name | Erica J Baig |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336605468 PECOS PAC ID: 1658612106 Enrollment ID: I20190410000194 |
| Provider Name | Lori Russell-siemer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609349489 PECOS PAC ID: 8325371156 Enrollment ID: I20190611002048 |
| Provider Name | Sonja Guillory |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376107730 PECOS PAC ID: 8123355682 Enrollment ID: I20190807001774 |
| Provider Name | Gregory Dawson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619355740 PECOS PAC ID: 7911235965 Enrollment ID: I20190828003671 |
| Provider Name | Ariana Danielle Correia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811558711 PECOS PAC ID: 0749510139 Enrollment ID: I20190927001180 |
| Provider Name | Esmeralda Essie Nigo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649821562 PECOS PAC ID: 6002148731 Enrollment ID: I20191030002519 |
| Provider Name | Keren- Happuch Lynne Simmons |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285250696 PECOS PAC ID: 4981026689 Enrollment ID: I20200625003188 |
| Provider Name | Sheila Michelle Hatfield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255957601 PECOS PAC ID: 1254758071 Enrollment ID: I20200825002497 |
| Provider Name | Hannah Wadsworth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982245734 PECOS PAC ID: 7810303856 Enrollment ID: I20210317000385 |
| Provider Name | Lauren Y Choi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902499627 PECOS PAC ID: 6103233770 Enrollment ID: I20210326000537 |
| Provider Name | Michelle Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629527163 PECOS PAC ID: 3779989306 Enrollment ID: I20210908000906 |
| Provider Name | Madeleine Fern Carlson-widolff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891243655 PECOS PAC ID: 4486042595 Enrollment ID: I20211021003200 |
| Provider Name | Jennifer Rose Iruegas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295402865 PECOS PAC ID: 0143614289 Enrollment ID: I20220307000436 |
| Provider Name | Lisa Marie Foerster |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275288607 PECOS PAC ID: 9739573726 Enrollment ID: I20220309000737 |
| Provider Name | Beyinah Y Hopkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871078659 PECOS PAC ID: 4082000849 Enrollment ID: I20220404000212 |
| Provider Name | Diana Lambrecht |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003559477 PECOS PAC ID: 2769879154 Enrollment ID: I20220504001170 |
| Provider Name | Jasmine Casanova |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750787107 PECOS PAC ID: 7517346455 Enrollment ID: I20220622003428 |
| Provider Name | Adrian Rives |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285369082 PECOS PAC ID: 7416339437 Enrollment ID: I20220808000036 |
| Provider Name | Kathleen Pratt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407254709 PECOS PAC ID: 1759764558 Enrollment ID: I20220811001055 |
| Provider Name | Jazmanika Ikiah Maria Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285019489 PECOS PAC ID: 5597141424 Enrollment ID: I20220929004045 |
| Provider Name | Miyori T Pullen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831813781 PECOS PAC ID: 0143696278 Enrollment ID: I20221014001512 |
| Provider Name | Treneva A Butler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740580901 PECOS PAC ID: 9234507120 Enrollment ID: I20221128001071 |
| Provider Name | Brandi Washington |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699366294 PECOS PAC ID: 8820469786 Enrollment ID: I20230201000783 |
| Provider Name | Karla Marie Alvarez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891494621 PECOS PAC ID: 4486028354 Enrollment ID: I20230315001912 |
| Provider Name | Latasha Vanin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417340472 PECOS PAC ID: 0143694521 Enrollment ID: I20230327001234 |
| Provider Name | Ida Ruiz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336853076 PECOS PAC ID: 3375918279 Enrollment ID: I20230406001215 |
| Provider Name | Aurelio De La Fuente |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366801722 PECOS PAC ID: 6103291505 Enrollment ID: I20230418001063 |
| Provider Name | Jacquelyn A Moore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457133613 PECOS PAC ID: 6002264280 Enrollment ID: I20231128003803 |
| Provider Name | Jennifer De'shae Moore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922873926 PECOS PAC ID: 5294184412 Enrollment ID: I20231213003788 |
| Provider Name | Aunre-anna Tangney |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568170512 PECOS PAC ID: 9436509411 Enrollment ID: I20240103002898 |
| Provider Name | Robyn L Ott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174650469 PECOS PAC ID: 5597116301 Enrollment ID: I20240105002227 |
| Provider Name | Roberto Guerrero |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164069589 PECOS PAC ID: 1951752484 Enrollment ID: I20240109004685 |
| Provider Name | Corrine Lashunda Rowe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760135800 PECOS PAC ID: 6709237936 Enrollment ID: I20240111002943 |
| Provider Name | Kristina Kathleen Dupre |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205574514 PECOS PAC ID: 6800249129 Enrollment ID: I20240201004167 |
| Provider Name | Sandra J Mcknight |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023292331 PECOS PAC ID: 4183067721 Enrollment ID: I20240209003324 |
| Provider Name | Ismael Vazquez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285190850 PECOS PAC ID: 8921445305 Enrollment ID: I20240320003911 |
| Provider Name | Timothy Timothy Johnston |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851088785 PECOS PAC ID: 6204273428 Enrollment ID: I20240325000469 |
| Provider Name | Michelle L Tate |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013229533 PECOS PAC ID: 8123465952 Enrollment ID: I20240328000894 |
| Provider Name | Abby Rose Hansen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184331142 PECOS PAC ID: 1759729536 Enrollment ID: I20240401000026 |
| Provider Name | Janet Garcia |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669127791 PECOS PAC ID: 1052750361 Enrollment ID: I20240419001042 |
| Provider Name | Patrick Shane Beck |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093336653 PECOS PAC ID: 9335535491 Enrollment ID: I20240422000596 |
| Provider Name | Karen Carrillo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902661044 PECOS PAC ID: 2163862665 Enrollment ID: I20240501001978 |
| Provider Name | Deanna Nicole Gibson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285462747 PECOS PAC ID: 1254871197 Enrollment ID: I20240906001628 |
| Provider Name | Isabel Sanders |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689022576 PECOS PAC ID: 8426589565 Enrollment ID: I20241001001308 |
| Provider Name | Alberto Figueroa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033991351 PECOS PAC ID: 6800327867 Enrollment ID: I20241001002065 |
| Provider Name | Noemi Mendez-hyams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851660237 PECOS PAC ID: 8628501970 Enrollment ID: I20241025001226 |
| Provider Name | Lisa Rena Lang |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497442941 PECOS PAC ID: 7012440696 Enrollment ID: I20241105000174 |
| Provider Name | Larry Mcentire |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912238098 PECOS PAC ID: 4587199146 Enrollment ID: I20241120001069 |
| Provider Name | Melody Hudson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003627928 PECOS PAC ID: 8729517255 Enrollment ID: I20250128003494 |
| Provider Name | Taryn Piatkowski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023826773 PECOS PAC ID: 2365972015 Enrollment ID: I20250210002823 |
| Provider Name | Melissa R Prelow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548073786 PECOS PAC ID: 4385174796 Enrollment ID: I20250213002570 |
| Provider Name | Laura P Yturria-calk |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013734839 PECOS PAC ID: 5991228769 Enrollment ID: I20250402001752 |
| Provider Name | James John San Filippo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609838051 PECOS PAC ID: 2163940511 Enrollment ID: I20250519003204 |
| Provider Name | Kimberly Duarte Sauls |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841637238 PECOS PAC ID: 8123283983 Enrollment ID: I20250528001757 |
Behavioral Health Assessments Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1410 Glasgow Ln, Allen, TX 75013 Phone: 800-207-1592 | |
Fisher Psychological Services, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 852 Llano Dr, Allen, TX 75013 Phone: 614-804-0171 | |
Reece Consulting Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 825 Watters Creek Blvd Ste 250, Allen, TX 75013 Phone: 945-253-5195 Fax: 469-713-2432 | |
Thompson Counseling And Family Therapy, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1514 N Greenville Ave Ste 310, Allen, TX 75002 Phone: 972-679-2167 | |
American Healthcare Holdings Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 S Jupiter Rd Ste 150, Allen, TX 75002 Phone: 469-543-7674 Fax: 469-991-6777 | |
Penny 4 Your Thoughts Counseling, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 550 S Watters Rd Ste 230, Allen, TX 75013 Phone: 214-415-0178 | |
Maddox Services Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1206 Rio Grande Ct, Allen, TX 75013 Phone: 254-856-1210 |