| 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 |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 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 | Marci Holloway |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245436435 PECOS PAC ID: 0143129882 Enrollment ID: I20040102000110 |
| 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 | Tzivia E Stein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255356929 PECOS PAC ID: 3072575414 Enrollment ID: I20041028000824 |
| 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 | Ava L Pickard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942495940 PECOS PAC ID: 9032151550 Enrollment ID: I20050525000429 |
| 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 | Erica F Govind Feist |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518156777 PECOS PAC ID: 2466475645 Enrollment ID: I20060113000546 |
| Provider Name | Frances B Stolarski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003911215 PECOS PAC ID: 8325043482 Enrollment ID: I20060922000404 |
| 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 | Roseann Blann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073712931 PECOS PAC ID: 1355421959 Enrollment ID: I20080109000154 |
| 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 | Mary Christine Lochridge |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659556553 PECOS PAC ID: 4880772292 Enrollment ID: I20080425000411 |
| Provider Name | Frances L Loftis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104084169 PECOS PAC ID: 5991878985 Enrollment ID: I20080724000303 |
| 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 | David Cory |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629390844 PECOS PAC ID: 4789713520 Enrollment ID: I20100603000631 |
| 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 | David T Marsden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659308765 PECOS PAC ID: 5698952182 Enrollment ID: I20110609000712 |
| 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 | Jose Antonio Gonzales |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386939049 PECOS PAC ID: 4587833488 Enrollment ID: I20130613000183 |
| 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 | 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 | Bruce Turk |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912145442 PECOS PAC ID: 0941366934 Enrollment ID: I20151023001027 |
| Provider Name | True Hardt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821443342 PECOS PAC ID: 5991099228 Enrollment ID: I20160810001023 |
| Provider Name | Erica Harris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497140073 PECOS PAC ID: 8325335037 Enrollment ID: I20160923001306 |
| Provider Name | Artie Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871801639 PECOS PAC ID: 0749577112 Enrollment ID: I20160928002185 |
| 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 | Nikaria S Mccray |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396284279 PECOS PAC ID: 4183908544 Enrollment ID: I20170302000655 |
| 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 | Lori Russell-siemer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609349489 PECOS PAC ID: 8325371156 Enrollment ID: I20190611002048 |
| Provider Name | Lora Hamilton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073076865 PECOS PAC ID: 7618202334 Enrollment ID: I20190717001047 |
| 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 Mczeal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811558711 PECOS PAC ID: 0749510139 Enrollment ID: I20190927001180 |
| Provider Name | Bryan S Phillips |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962459255 PECOS PAC ID: 8527399880 Enrollment ID: I20191017001479 |
| Provider Name | Ruby Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710334396 PECOS PAC ID: 5799017414 Enrollment ID: I20191030001835 |
| 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 | Donald Ray Mahan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154749257 PECOS PAC ID: 2567898745 Enrollment ID: I20200206001567 |
| Provider Name | Machanta Newson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902949688 PECOS PAC ID: 4284887969 Enrollment ID: I20200528002446 |
| 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 | Holly Horton Randall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649518028 PECOS PAC ID: 9638595457 Enrollment ID: I20200811002525 |
| 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 | Alayne Billingsley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700442217 PECOS PAC ID: 2961817572 Enrollment ID: I20210212000220 |
| Provider Name | Jennifer Jean Barry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366048415 PECOS PAC ID: 8921413402 Enrollment ID: I20210215001727 |
| Provider Name | Teresa Antoinette Fuller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346846151 PECOS PAC ID: 1456766963 Enrollment ID: I20210216000625 |
| Provider Name | Marilyn Sturdivant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851868319 PECOS PAC ID: 2365858008 Enrollment ID: I20210304001355 |
| 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 | Machaela Harrell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013596915 PECOS PAC ID: 6608285788 Enrollment ID: I20210430000439 |
| Provider Name | Rosalie Cantu Flores |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396316477 PECOS PAC ID: 4880096551 Enrollment ID: I20210719000541 |
| Provider Name | Shaunquette V Garrett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669146940 PECOS PAC ID: 5799189130 Enrollment ID: I20210809000255 |
| Provider Name | Michelle Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629527163 PECOS PAC ID: 3779989306 Enrollment ID: I20210908000906 |
| 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 | Michael Thomas Serpa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174897128 PECOS PAC ID: 3072991090 Enrollment ID: I20220603001218 |
| Provider Name | Monica Benetta Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396863320 PECOS PAC ID: 4385554765 Enrollment ID: I20220617000608 |
| Provider Name | Jasmine Casanova |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750787107 PECOS PAC ID: 7517346455 Enrollment ID: I20220622003428 |
| Provider Name | Kecia Harris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922540517 PECOS PAC ID: 8729467618 Enrollment ID: I20220623001710 |
| Provider Name | Pedro A Villarreal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073073615 PECOS PAC ID: 9830571579 Enrollment ID: I20220728000121 |
| 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 | Marilyn Joan Ladin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336490523 PECOS PAC ID: 0042695439 Enrollment ID: I20220921002431 |
| 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 | Lisa Davila |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467632208 PECOS PAC ID: 4486020260 Enrollment ID: I20221019001388 |
| Provider Name | Pamela Theresa Courseault |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295407542 PECOS PAC ID: 7810365897 Enrollment ID: I20221122003273 |
| 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 | Latasha Vanin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417340472 PECOS PAC ID: 0143694521 Enrollment ID: I20230327001234 |
| Provider Name | Zasia Giddings |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750094041 PECOS PAC ID: 1658746763 Enrollment ID: I20230403001552 |
| 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 D Moore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922873926 PECOS PAC ID: 5294184412 Enrollment ID: I20231213003788 |
| 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 | Dana Irene Tamasi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285968388 PECOS PAC ID: 8022451657 Enrollment ID: I20240209003159 |
Behavioral Health Assessments Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1410 Glasgow Ln, Allen, TX 75013 Phone: 800-207-1592 | |
Reece Consulting Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 550 S Watters Rd Ste 136, 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 | |
Upswing Psychiatry Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 22 Prestige Circle, Suite 300, Allen, TX 75002 Phone: 214-383-3200 Fax: 214-383-3211 | |
Great Pathways Psychiatry Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1333 W Mcdermott Dr Ste 200, Allen, TX 75013 Phone: 469-564-4211 Fax: 469-242-9719 |