| 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 | 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 | Owen James Mcgonnell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437259439 PECOS PAC ID: 7810239332 Enrollment ID: I20190503000412 |
| 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 | Kara D. Ludeker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811469265 PECOS PAC ID: 9335510080 Enrollment ID: I20230117003015 |
| Provider Name | Charles 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 | Rebecca L Dreiling |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689157992 PECOS PAC ID: 3870952419 Enrollment ID: I20230629003525 |
| 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 Kaplan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134500614 PECOS PAC ID: 9739549924 Enrollment ID: I20230719003529 |
| Provider Name | John Yeaw |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396891149 PECOS PAC ID: 1658758073 Enrollment ID: I20230725004111 |
| 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 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 | Tara Cp Matus |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639514383 PECOS PAC ID: 1456705425 Enrollment ID: I20230925001556 |
| 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 | Jami Stobaugh |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386118479 PECOS PAC ID: 1951752963 Enrollment ID: I20240103004163 |
| 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 | 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 | Erin Michelle Guarnero |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427496611 PECOS PAC ID: 6709229461 Enrollment ID: I20240209000425 |
| Provider Name | Anitha Dayalan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902225311 PECOS PAC ID: 4789802679 Enrollment ID: I20240215002289 |
| Provider Name | Gregory Baima |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154332039 PECOS PAC ID: 6800836214 Enrollment ID: I20240215004503 |
| Provider Name | Amanda 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 |
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 | |
Life In Motion Counseling 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: 1200 Hidden Valley Dr Apt 1521, Round Rock, TX 78665 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 | |
Candice Fraser, Lpc 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 |