| Family Care Center Llc, | |
|
551 S. Ih 35 Suite 200 Round Rock TX 78664 | |
| (719) 540-2100 | |
| Not Available |
| Full Name | Family Care Center Llc, |
|---|---|
| Speciality | Clinic/Center |
| Location | 551 S. Ih 35, Round Rock, Texas |
| Authorized Official Name and Position | Christian M Ellis (PROVIDER ENGAGEMENT & CREDENTIALING) |
| Authorized Official Contact | 7195402100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Care Center Llc, 2860 South Circle Drive Suite 109 Colorado Springs CO 80906-4195 Ph: (719) 540-2100 | Family Care Center Llc, 551 S. Ih 35 Suite 200 Round Rock TX 78664 Ph: (719) 540-2100 |
| NPI Number | 1427786482 |
|---|---|
| Provider Enumeration Date | 08/09/2022 |
| Last Update Date | 12/05/2022 |
| Certification Date | 12/05/2022 |
| Medicare PECOS PAC ID | 5991064420 |
|---|---|
| Medicare Enrollment ID | O20230606000587 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427786482 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Janet E Lantry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902962657 PECOS PAC ID: 6901851039 Enrollment ID: I20050322000231 |
| Provider Name | Bree Anna Borgsteadt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154733038 PECOS PAC ID: 2567785330 Enrollment ID: I20141231000639 |
| Provider Name | Aimee Corona |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982969580 PECOS PAC ID: 4587969845 Enrollment ID: I20160224001127 |
| Provider Name | Caitlin Kieltyka |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700229655 PECOS PAC ID: 8527358662 Enrollment ID: I20170906000186 |
| Provider Name | Rachel Sarah Luna |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598186652 PECOS PAC ID: 2466717434 Enrollment ID: I20180522000307 |
| Provider Name | Teresa D Harper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629547898 PECOS PAC ID: 6800136425 Enrollment ID: I20190319000823 |
| Provider Name | Tyson Karl Lippe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164804282 PECOS PAC ID: 7113216888 Enrollment ID: I20190813002728 |
| Provider Name | Dereck Gabriell Alexander |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134888019 PECOS PAC ID: 9739570367 Enrollment ID: I20211215001667 |
| Provider Name | Andrew Mellon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285164913 PECOS PAC ID: 6709150121 Enrollment ID: I20220518002742 |
| Provider Name | Marlene Luna |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346900792 PECOS PAC ID: 4183002900 Enrollment ID: I20220608000113 |
| Provider Name | Leslie Anne Catlett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013639582 PECOS PAC ID: 5193191104 Enrollment ID: I20221017001317 |
| Provider Name | Sheila Moore-bunch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275765083 PECOS PAC ID: 9133253396 Enrollment ID: I20230223002043 |
| Provider Name | Charles Lee Weber |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841277258 PECOS PAC ID: 1254600935 Enrollment ID: I20230606001382 |
| Provider Name | Wesley Dean Stobaugh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316557655 PECOS PAC ID: 8123487816 Enrollment ID: I20230628002685 |
| Provider Name | Capri Wiggins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386247468 PECOS PAC ID: 9133588874 Enrollment ID: I20230629000070 |
| Provider Name | Allison Quinones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174173074 PECOS PAC ID: 6507225927 Enrollment ID: I20230703002556 |
| Provider Name | Chad Leif Wysong |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083309769 PECOS PAC ID: 3476913245 Enrollment ID: I20230712003374 |
| Provider Name | Alexander Morris Kaplan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134500614 PECOS PAC ID: 9739549924 Enrollment ID: I20230719003529 |
| Provider Name | Victoria Bailey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346918539 PECOS PAC ID: 1759755804 Enrollment ID: I20230803004627 |
| Provider Name | I'esha Catrina Baber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003571910 PECOS PAC ID: 4880089937 Enrollment ID: I20230821000409 |
| Provider Name | Madison Ann Vencill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437804218 PECOS PAC ID: 3274996509 Enrollment ID: I20230901002997 |
| Provider Name | Rocio Avila-salinas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003524851 PECOS PAC ID: 2769846518 Enrollment ID: I20230912001904 |
| Provider Name | Steven Darold Presley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275215949 PECOS PAC ID: 2769836261 Enrollment ID: I20231003001447 |
| Provider Name | Waverly Rae Peterson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124738141 PECOS PAC ID: 1658725015 Enrollment ID: I20231004000317 |
| Provider Name | Luc Amdahl |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932604691 PECOS PAC ID: 2062761307 Enrollment ID: I20231017000399 |
| Provider Name | Ashley Tamayo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679242390 PECOS PAC ID: 5193171320 Enrollment ID: I20231025000421 |
| Provider Name | Samantha Pena |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1245987007 PECOS PAC ID: 8729438312 Enrollment ID: I20231221004061 |
| Provider Name | Jami Stobaugh |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386118479 PECOS PAC ID: 1951752963 Enrollment ID: I20240103004163 |
| Provider Name | Johnny Bartholomew Harris |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821769134 PECOS PAC ID: 1658722426 Enrollment ID: I20240105000755 |
| Provider Name | Rebecca Marie Ayala |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629789904 PECOS PAC ID: 3971954769 Enrollment ID: I20240105001382 |
| Provider Name | Peggy Christina Gryder |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699813238 PECOS PAC ID: 0345691606 Enrollment ID: I20240110005335 |
| Provider Name | Cristina Thornell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376116996 PECOS PAC ID: 6305297581 Enrollment ID: I20240111004811 |
| Provider Name | Jennifer Ann Yoon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881395242 PECOS PAC ID: 4082066055 Enrollment ID: I20240116002710 |
| Provider Name | Dena D Burns |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467642868 PECOS PAC ID: 0143672642 Enrollment ID: I20240119003960 |
| Provider Name | Isabel Cristina Velazquez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730862335 PECOS PAC ID: 7719339191 Enrollment ID: I20240122002524 |
| Provider Name | Jennifer Dawn Diaz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285139840 PECOS PAC ID: 1355793753 Enrollment ID: I20240122003329 |
| Provider Name | Julianna Navarro |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437840618 PECOS PAC ID: 4183076490 Enrollment ID: I20240122004066 |
| Provider Name | Isamar Silva |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194500934 PECOS PAC ID: 2062864309 Enrollment ID: I20240123000304 |
| Provider Name | Alyssa Paige Frers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891377883 PECOS PAC ID: 6002268216 Enrollment ID: I20240123003007 |
| Provider Name | David Brandon Jaskowiak |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477055507 PECOS PAC ID: 1951753177 Enrollment ID: I20240123003258 |
| Provider Name | Janice Martin Young |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427797307 PECOS PAC ID: 4385096510 Enrollment ID: I20240123003406 |
| Provider Name | Michael F Brooking |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720718406 PECOS PAC ID: 0547612798 Enrollment ID: I20240123004226 |
| Provider Name | Kimberly Renee Flowers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669157582 PECOS PAC ID: 9133571383 Enrollment ID: I20240123004434 |
| Provider Name | Pamela Deeann Shelnutt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528486685 PECOS PAC ID: 1456703628 Enrollment ID: I20240124000042 |
| Provider Name | Patricia Kottaridis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538699541 PECOS PAC ID: 9335591502 Enrollment ID: I20240124000122 |
| Provider Name | Ty Heath Evans |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356023949 PECOS PAC ID: 8426400607 Enrollment ID: I20240124000164 |
| Provider Name | Sarah Barton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598496390 PECOS PAC ID: 8426401506 Enrollment ID: I20240124004086 |
| Provider Name | Mandy Jay Goerger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134879117 PECOS PAC ID: 1658724992 Enrollment ID: I20240202000177 |
| Provider Name | Janine Morse Siegfried |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760027437 PECOS PAC ID: 0244673408 Enrollment ID: I20240205004036 |
| Provider Name | Amanda Pearman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538565965 PECOS PAC ID: 4688017726 Enrollment ID: I20240206002647 |
| Provider Name | Victoria Mccartney |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245930189 PECOS PAC ID: 4284077132 Enrollment ID: I20240207002168 |
| Provider Name | Sarah Weaver |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215613393 PECOS PAC ID: 6406299312 Enrollment ID: I20240207004004 |
| Provider Name | Antonio Bermudez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083334544 PECOS PAC ID: 6800239682 Enrollment ID: I20240208002255 |
| Provider Name | Anitha Dayalan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902225311 PECOS PAC ID: 4789802679 Enrollment ID: I20240215002289 |
| Provider Name | Amanda L Barrios-egan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508391558 PECOS PAC ID: 6305280256 Enrollment ID: I20240219002254 |
| Provider Name | Stephanie Bassett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346343654 PECOS PAC ID: 9436593340 Enrollment ID: I20240220000722 |
| Provider Name | Cheryl Cavey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851153910 PECOS PAC ID: 2264877588 Enrollment ID: I20240227001044 |
| Provider Name | Melinda Kerr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548763436 PECOS PAC ID: 5092150938 Enrollment ID: I20240229004028 |
| Provider Name | Gloria Anne Coffey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790012813 PECOS PAC ID: 7719322668 Enrollment ID: I20240229004459 |
| Provider Name | Josefina J Cisneros |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356063051 PECOS PAC ID: 1355788613 Enrollment ID: I20240321002709 |
| Provider Name | Ruby Mora Lee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437720182 PECOS PAC ID: 0143668889 Enrollment ID: I20240401002485 |
| Provider Name | Lucia Simonton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225762842 PECOS PAC ID: 5890133193 Enrollment ID: I20240405001109 |
| Provider Name | Jessica Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063956290 PECOS PAC ID: 7012355084 Enrollment ID: I20240410000462 |
| Provider Name | Stephanie Torres-rojas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023785318 PECOS PAC ID: 6608215033 Enrollment ID: I20240418002186 |
| Provider Name | Arlene Mcmillan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073266177 PECOS PAC ID: 3375982523 Enrollment ID: I20240419002701 |
| Provider Name | Derek Dietrich |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235733510 PECOS PAC ID: 4789024530 Enrollment ID: I20240426003357 |
| Provider Name | Peyton Hurt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497745392 PECOS PAC ID: 4385033943 Enrollment ID: I20240508002078 |
| Provider Name | Tyler Shanelle Sanders |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942603113 PECOS PAC ID: 8224570593 Enrollment ID: I20240603002033 |
| Provider Name | Karl Bremer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952078404 PECOS PAC ID: 2466899612 Enrollment ID: I20240606001361 |
| Provider Name | Anna Sabrina Barrios |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437709540 PECOS PAC ID: 1658813332 Enrollment ID: I20240610001805 |
| Provider Name | Stephanie Valdez-herrera |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255885562 PECOS PAC ID: 7012459738 Enrollment ID: I20240610003547 |
| Provider Name | Jessica Smart |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447999255 PECOS PAC ID: 4385187020 Enrollment ID: I20240621002883 |
| Provider Name | Patricia Melina Lozano |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376304071 PECOS PAC ID: 0244773794 Enrollment ID: I20240625001887 |
| Provider Name | Lisa Anne Poppen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801517669 PECOS PAC ID: 1557805009 Enrollment ID: I20240626000930 |
| Provider Name | Supritha Sampath |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669074860 PECOS PAC ID: 5799229258 Enrollment ID: I20240626001473 |
| Provider Name | Shaulea Rejeen Kimmel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841841699 PECOS PAC ID: 5193269082 Enrollment ID: I20240702003851 |
| Provider Name | Tina Elisabeth Demattia |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1275000507 PECOS PAC ID: 4284178948 Enrollment ID: I20240705000640 |
| Provider Name | Jaime L Furlongue |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568159572 PECOS PAC ID: 6608311485 Enrollment ID: I20240717000489 |
| Provider Name | Janie Alejandra Montiel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275252884 PECOS PAC ID: 3971049693 Enrollment ID: I20240718001080 |
| Provider Name | Amber Lee Harris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245695626 PECOS PAC ID: 7416493093 Enrollment ID: I20240718003702 |
| Provider Name | Rachel Marie Wood |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285297929 PECOS PAC ID: 0941746457 Enrollment ID: I20240720000424 |
| Provider Name | Payton D Mueller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053186189 PECOS PAC ID: 2769928290 Enrollment ID: I20240722000096 |
| Provider Name | Alicia Branch-mcdowell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174219521 PECOS PAC ID: 2466998786 Enrollment ID: I20240723003415 |
| Provider Name | Harold Ames |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093980807 PECOS PAC ID: 4981000601 Enrollment ID: I20240730002455 |
| Provider Name | Reginald Lloyd |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912561333 PECOS PAC ID: 5991242687 Enrollment ID: I20240730003571 |
| Provider Name | Vickie Darlene Bing |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891375804 PECOS PAC ID: 6800328956 Enrollment ID: I20241015001945 |
| Provider Name | Jennifer M Ozzello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043771504 PECOS PAC ID: 7911430335 Enrollment ID: I20241023004573 |
| Provider Name | Jessica Rose Guajardo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023736329 PECOS PAC ID: 1759814049 Enrollment ID: I20241024003420 |
| Provider Name | Gustavo Rodriguez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104043371 PECOS PAC ID: 2163955154 Enrollment ID: I20241029004156 |
| Provider Name | Nicole Jennifer Vazoulas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316547086 PECOS PAC ID: 7911432422 Enrollment ID: I20241120003952 |
| Provider Name | Amber Dionne Scott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649020512 PECOS PAC ID: 0547795817 Enrollment ID: I20241122002280 |
| Provider Name | Leslie Mitchell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750157574 PECOS PAC ID: 1759816028 Enrollment ID: I20241122002601 |
| Provider Name | Laura J Condon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124555156 PECOS PAC ID: 6406382548 Enrollment ID: I20241212000393 |
| Provider Name | Melissa Kaye Whitsett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548078108 PECOS PAC ID: 4385173012 Enrollment ID: I20250124003645 |
| Provider Name | Kendra Knight Coleman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184432155 PECOS PAC ID: 9234668872 Enrollment ID: I20250127000507 |
| Provider Name | Kristel Zoller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023419637 PECOS PAC ID: 7214466606 Enrollment ID: I20250130000972 |
| Provider Name | Jordan J Vail |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740092428 PECOS PAC ID: 5193255172 Enrollment ID: I20250205003321 |
| Provider Name | Sara Naugle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588370043 PECOS PAC ID: 9032649025 Enrollment ID: I20250205003591 |
| Provider Name | Maia Goldfarb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013741545 PECOS PAC ID: 6305376344 Enrollment ID: I20250206001220 |
| Provider Name | Karen Louise Keblawi |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407476989 PECOS PAC ID: 2163952805 Enrollment ID: I20250210002383 |
| Provider Name | Melissa Myra Bueno |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912719253 PECOS PAC ID: 0648700930 Enrollment ID: I20250217001695 |
| Provider Name | Kaitlin Frances Miesch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205647203 PECOS PAC ID: 9830619022 Enrollment ID: I20250218002657 |
| Provider Name | Pamela Elaine Hansen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366676447 PECOS PAC ID: 3779003991 Enrollment ID: I20250218003886 |
| Provider Name | Jessica Noreen Nathaniel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295543437 PECOS PAC ID: 1658891577 Enrollment ID: I20250224000036 |
| Provider Name | Cambre Shonbrae Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457848434 PECOS PAC ID: 1456871235 Enrollment ID: I20250224002073 |
| Provider Name | Brenda Bridges |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1033454343 PECOS PAC ID: 9537689963 Enrollment ID: I20250227003920 |
| Provider Name | Christopher Jackson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316300866 PECOS PAC ID: 2567761224 Enrollment ID: I20250304002597 |
| Provider Name | Crystal Riley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659186443 PECOS PAC ID: 5597286559 Enrollment ID: I20250306000573 |
| Provider Name | Lauren Romero |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982416129 PECOS PAC ID: 5496277915 Enrollment ID: I20250313002536 |
| Provider Name | Melissa Guerra |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801694401 PECOS PAC ID: 8729501721 Enrollment ID: I20250331003188 |
| Provider Name | Erika Best |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578660007 PECOS PAC ID: 0547483323 Enrollment ID: I20250402001779 |
| Provider Name | Bobbi Ai Marsh |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881256329 PECOS PAC ID: 7719401488 Enrollment ID: I20250403003752 |
| Provider Name | Philip Southern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316746530 PECOS PAC ID: 5799209474 Enrollment ID: I20250403003789 |
| Provider Name | Shipra Singh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619593373 PECOS PAC ID: 8527481647 Enrollment ID: I20250407002422 |
| Provider Name | Veronica Carranza |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184199689 PECOS PAC ID: 9537571807 Enrollment ID: I20250407003205 |
| Provider Name | Mark Wesseler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013332147 PECOS PAC ID: 6204350440 Enrollment ID: I20250409000303 |
| Provider Name | Sheryl Elisabeth Desvarennes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982423448 PECOS PAC ID: 4486178266 Enrollment ID: I20250414002983 |
| Provider Name | Joy Onyinyechi Nwaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588137954 PECOS PAC ID: 0547785230 Enrollment ID: I20250415002115 |
| Provider Name | Brittany Amanda Mountain |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023752953 PECOS PAC ID: 0143746586 Enrollment ID: I20250429000486 |
| Provider Name | Reid Mcgraw |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407512510 PECOS PAC ID: 0941737530 Enrollment ID: I20250430000785 |
| Provider Name | Vanessa A Loera |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326611369 PECOS PAC ID: 7214453463 Enrollment ID: I20250430001779 |
Infinite Potential Counseling, Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1000 Gattis School Rd Ste 410, Round Rock, TX 78664 Phone: 512-230-3740 | |
Pietig Counseling And Consulting, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1311 Chisholm Trl, Ste 301, Round Rock, TX 78681 Phone: 512-799-4875 | |
Counseling Forward, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 620 Rusk Rd, Round Rock, TX 78665 Phone: 832-523-3700 Fax: 737-205-6966 | |
Brooke D. Peplinski, Lpc, Ncc, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 Round Rock West Drive #305, Round Rock, TX 78681 Phone: 262-853-7752 | |
Redesigning Lives, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2420b Curry Loop, Round Rock, TX 78664 Phone: 225-590-5051 Fax: 833-967-1840 | |
Liberate Counseling Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1311 Chisholm Trail Rd Ste 201, Round Rock, TX 78681 Phone: 512-593-6274 | |
Green Couch Counseling, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 Round Rock West Dr Ste 602, Round Rock, TX 78681 Phone: 512-771-3938 |