East Texas Community Health Services, Inc. - Medicare Mental Health Clinic in Nacogdoches, TX

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East Texas Community Health Services, Inc. is a medicare enrolled mental health clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Nacogdoches, Texas. The current practice location for East Texas Community Health Services, Inc. is 1309 S University Dr, Nacogdoches, Texas. For appointments, you can reach them via phone at (936) 560-5668. The mailing address for East Texas Community Health Services, Inc. is Po Box 632040, Nacogdoches, Texas and phone number is (936) 560-5413.

East Texas Community Health Services, Inc. is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1255367090. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (936) 560-5668.

Contact Information

East Texas Community Health Services, Inc.
1309 S University Dr
Nacogdoches
TX 75961-6486
(936) 560-5668
(936) 552-7240

Map and Direction


Mental Health Clinic Profile

Full NameEast Texas Community Health Services, Inc.
SpecialityClinic/Center
Location1309 S University Dr, Nacogdoches, Texas
Authorized Official Name and PositionAnita K Humphreys (CFO)
Authorized Official Contact9365605413
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
East Texas Community Health Services, Inc.
Po Box 632040
Nacogdoches
TX 75963-2040

Ph: (936) 560-5413		East Texas Community Health Services, Inc.
1309 S University Dr
Nacogdoches
TX 75961-6486

Ph: (936) 560-5668

NPI Details:

NPI Number1255367090
Provider Enumeration Date06/23/2006
Last Update Date01/06/2026
Certification Date01/06/2026

Medicare PECOS Information:

Medicare PECOS PAC ID9830089796
Medicare Enrollment IDO20040316001153

Medical Identifiers

Medical identifiers for East Texas Community Health Services, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255367090NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YP2500XCounselor - Professional (* (Not Available))Secondary
207Q00000XFamily Medicine (* (Not Available))Secondary
207V00000XObstetrics & Gynecology (* (Not Available))Secondary
208000000XPediatrics (* (Not Available))Secondary
261QA0005XClinic/center - Ambulatory Family Planning Facility (* (Not Available))Secondary
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (Not Available))Primary
261QM1300XClinic/center - Multi-specialty (* (Not Available))Secondary
363LF0000XNurse Practitioner - Family (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. East Texas Community Health Services, Inc. acts as a billing entity for following providers:
Provider NameRodrigo W Sotillo
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1861424319
PECOS PAC ID: 3274516851
Enrollment ID: I20040612000754
Provider NameBrian J Glymph
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1932157542
PECOS PAC ID: 8426063074
Enrollment ID: I20060221000878
Provider NameCrystal A Talavera
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154510980
PECOS PAC ID: 5395806764
Enrollment ID: I20081203000561
Provider NameKim M Schaus
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1851445340
PECOS PAC ID: 6800957929
Enrollment ID: I20081209000055
Provider NameKeli S Barrios
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619259579
PECOS PAC ID: 9739346883
Enrollment ID: I20120201000861
Provider NameMelinda Wenner
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1154507630
PECOS PAC ID: 3779622832
Enrollment ID: I20120430000345
Provider NameMelanie L Wilson
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1801136700
PECOS PAC ID: 9638315401
Enrollment ID: I20130424000060
Provider NameAndrea Sue Wenner
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1073871976
PECOS PAC ID: 1759692627
Enrollment ID: I20150618001352
Provider NameRebekah Hacker Taylor
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205225620
PECOS PAC ID: 1850600313
Enrollment ID: I20151023000151
Provider NameJena Lyn Rhodes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073983102
PECOS PAC ID: 0941501399
Enrollment ID: I20151209001249
Provider NameAnna H Catron
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1497803142
PECOS PAC ID: 2163727652
Enrollment ID: I20160222000705
Provider NameBrandi Ferguson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629438254
PECOS PAC ID: 4880985183
Enrollment ID: I20160616001105
Provider NameDebra A Utpadel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619210952
PECOS PAC ID: 5395037204
Enrollment ID: I20160714000112
Provider NameKay L Nelson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1780636613
PECOS PAC ID: 0840219242
Enrollment ID: I20160720000817
Provider NameMichelle Key
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871042606
PECOS PAC ID: 1456633858
Enrollment ID: I20170119001802
Provider NameRyan Kortni Arreguin
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1164934964
PECOS PAC ID: 2567720824
Enrollment ID: I20171215000294
Provider NameBenjamin Patrick Thompson
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1730506031
PECOS PAC ID: 3971858960
Enrollment ID: I20180614002567
Provider NameEmma Pruett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477193779
PECOS PAC ID: 1658790050
Enrollment ID: I20201005001943
Provider NameRachael Ann Hacker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558883751
PECOS PAC ID: 2264705722
Enrollment ID: I20230112000454
Provider NameKendra Joy Vandover
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295367795
PECOS PAC ID: 4183000664
Enrollment ID: I20231103003084
Provider NameLeila Taylor Stevens
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1396459079
PECOS PAC ID: 6406204049
Enrollment ID: I20231121001005
Provider NameThomas G Goodman
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1508941212
PECOS PAC ID: 6709234701
Enrollment ID: I20231201001494
Provider NameBrandi Renee Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053175646
PECOS PAC ID: 8123468857
Enrollment ID: I20240429002760
Provider NameJenny Chatman
Provider TypePractitioner - Certified Clinical Nurse Specialist (cns)
Provider IdentifiersNPI Number: 1790532018
PECOS PAC ID: 7113463076
Enrollment ID: I20240726003037

Reviews and Comments

Clinic/Center in Nacogdoches, TX

Milstead & Associates Counseling Group
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 118 E Hospital St, Suite 300, Nacogdoches, TX 75961
Phone: 936-615-7927    Fax: 866-875-5265
Linda Millican Counseling Pllc
Mental Health Clinic
Medicare: Medicare Enrolled
Practice Location: 3524 Ne Stallings Dr, Nacogdoches, TX 75965
Phone: 512-481-8506    
Cox Christian Counseling Pllc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 305 E Main St Ste 201, Nacogdoches, TX 75961
Phone: 936-304-0923    
Whole Again Counseling And Wellness, Llc
Mental Health Clinic
Medicare: Medicare Enrolled
Practice Location: 1808 South St, Nacogdoches, TX 75964
Phone: 936-615-1122    
Georgetown Psychotherapy, Pllc
Mental Health Clinic
Medicare: Medicare Enrolled
Practice Location: 518 E Hospital Street, Nacogdoches, TX 75961
Phone: 936-462-8577    Fax: 936-228-9072
Taravella Counseling Pllc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 924 N University Dr, Nacogdoches, TX 75961
Phone: 936-800-8120    Fax: 936-417-7282

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.