| Counseling And Consulting Associates Of North Texas | |
|
2750 W. Virginia Pkwy Ste 108 Mckinney TX 75071 | |
| (972) 542-8144 | |
| (972) 548-9891 |
| Full Name | Counseling And Consulting Associates Of North Texas |
|---|---|
| Speciality | Counselor |
| Location | 2750 W. Virginia Pkwy, Mckinney, Texas |
| Authorized Official Name and Position | Kelli Smart (OFFICE MANAGER) |
| Authorized Official Contact | 9725428144 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling And Consulting Associates Of North Texas 2750 W. Virginia Parkway Ste 108 Mckinney TX 75071 Ph: (972) 542-8144 | Counseling And Consulting Associates Of North Texas 2750 W. Virginia Pkwy Ste 108 Mckinney TX 75071 Ph: (972) 542-8144 |
| NPI Number | 1629156682 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 09/19/2022 |
| Certification Date | 09/19/2022 |
| Medicare PECOS PAC ID | 9931585619 |
|---|---|
| Medicare Enrollment ID | O20221004000505 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629156682 | NPI | - | NPPES |
| 289748 | Other | VALUE OPTIONS | |
| 0060GD | Other | TX | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| 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 | Carrie Wigginton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952627150 PECOS PAC ID: 1557582277 Enrollment ID: I20221004001002 |
| Provider Name | Tiffany Gainer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205483823 PECOS PAC ID: 1052787140 Enrollment ID: I20221013003742 |
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