| Kotel Atx | |
|
3001 Bee Caves Rd Ste 220 Austin TX 78746-5590 | |
| (855) 204-2502 | |
| Not Available |
| Full Name | Kotel Atx |
|---|---|
| Speciality | Clinic/Center |
| Location | 3001 Bee Caves Rd Ste 220, Austin, Texas |
| Authorized Official Name and Position | Chimene T Perez (CREDENTIALING MANAGER) |
| Authorized Official Contact | 8458008911 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kotel Atx 3001 Bee Caves Rd Ste 220 Austin TX 78746-5590 Ph: (855) 204-2502 | Kotel Atx 3001 Bee Caves Rd Ste 220 Austin TX 78746-5590 Ph: (855) 204-2502 |
| NPI Number | 1568055192 |
|---|---|
| Provider Enumeration Date | 02/15/2021 |
| Last Update Date | 03/17/2025 |
| Certification Date | 03/17/2025 |
| Medicare PECOS PAC ID | 9537578810 |
|---|---|
| Medicare Enrollment ID | O20210518000994 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568055192 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084B0040X | Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Ann K Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154365294 PECOS PAC ID: 8123017050 Enrollment ID: I20040506001774 |
| Provider Name | Edward Jason Muldrow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851378814 PECOS PAC ID: 0244201879 Enrollment ID: I20040805000478 |
| Provider Name | Suzanna J Hodges |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932402385 PECOS PAC ID: 2961460126 Enrollment ID: I20041221000099 |
| Provider Name | Manuel R Emperador |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649682790 PECOS PAC ID: 7416179296 Enrollment ID: I20141111001267 |
| Provider Name | Damaris Chukwura |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992100903 PECOS PAC ID: 8426374364 Enrollment ID: I20150311002033 |
| Provider Name | Carnika S Donald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295111367 PECOS PAC ID: 7315248796 Enrollment ID: I20151209002516 |
| 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 | Bonnie S Morphew |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134234727 PECOS PAC ID: 9830341809 Enrollment ID: I20170112000262 |
| Provider Name | Pamela A Dockery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619348604 PECOS PAC ID: 5193092328 Enrollment ID: I20170518001867 |
| Provider Name | Latoya C Nottage-murphy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467896415 PECOS PAC ID: 9830457977 Enrollment ID: I20171220000233 |
| Provider Name | Consuela D Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497802516 PECOS PAC ID: 8426307372 Enrollment ID: I20180827000161 |
| Provider Name | Kristen Vianey Dale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588158042 PECOS PAC ID: 6507118072 Enrollment ID: I20181010003390 |
| Provider Name | Jennifer Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407336977 PECOS PAC ID: 7810241932 Enrollment ID: I20181108000692 |
| Provider Name | Alexandra Harvest Chapman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912458498 PECOS PAC ID: 6709129505 Enrollment ID: I20190520000061 |
| Provider Name | Jellirica Peters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962904722 PECOS PAC ID: 2860756277 Enrollment ID: I20190620000538 |
| Provider Name | Tyson Karl Lippe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164804282 PECOS PAC ID: 7113216888 Enrollment ID: I20190813002728 |
| Provider Name | Robert O Robinson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386756989 PECOS PAC ID: 1355501388 Enrollment ID: I20200414002346 |
| Provider Name | Teressa Carter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114245594 PECOS PAC ID: 7618307844 Enrollment ID: I20200430001112 |
| Provider Name | Darren Fred |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447609052 PECOS PAC ID: 0446545362 Enrollment ID: I20201027002103 |
| Provider Name | Chad E Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922600444 PECOS PAC ID: 2961813183 Enrollment ID: I20201119001369 |
| Provider Name | Ngozi Theresa Onyia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174133938 PECOS PAC ID: 5799879573 Enrollment ID: I20210211003398 |
| Provider Name | Mambo J Ndingwan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326675737 PECOS PAC ID: 0840604617 Enrollment ID: I20210309001573 |
| Provider Name | Andrea E Marquez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225335110 PECOS PAC ID: 3577967710 Enrollment ID: I20210810001426 |
| Provider Name | Dana Ebeling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114353588 PECOS PAC ID: 4082840673 Enrollment ID: I20210818000158 |
| Provider Name | Patricia J Hernandez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538824206 PECOS PAC ID: 7719376201 Enrollment ID: I20211123001875 |
| Provider Name | Kenneth Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639645039 PECOS PAC ID: 1658764568 Enrollment ID: I20220216002057 |
| Provider Name | Joseph C Swider |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033156294 PECOS PAC ID: 8628175791 Enrollment ID: I20220314000185 |
| Provider Name | Lorena Alvarez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629710926 PECOS PAC ID: 4981091261 Enrollment ID: I20220505001482 |
| Provider Name | Arif M Noorbaksh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275912255 PECOS PAC ID: 3678951464 Enrollment ID: I20220607002253 |
| Provider Name | Maranda Medina |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720726607 PECOS PAC ID: 4284012931 Enrollment ID: I20220608001267 |
| Provider Name | Vecheslav Fedorchenco |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750815189 PECOS PAC ID: 1759762123 Enrollment ID: I20220715001831 |
| Provider Name | Ivan Srdanovic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184262735 PECOS PAC ID: 7416330428 Enrollment ID: I20220823003241 |
| Provider Name | Nhi T Vu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710690862 PECOS PAC ID: 4688045107 Enrollment ID: I20230120000548 |
| Provider Name | Emma Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205466356 PECOS PAC ID: 2466823778 Enrollment ID: I20230125000584 |
| Provider Name | Shaunae Tolson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720448905 PECOS PAC ID: 3274971387 Enrollment ID: I20240409003398 |
| Provider Name | Crispin Nmn Feliciano |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205577616 PECOS PAC ID: 9335588052 Enrollment ID: I20240415001798 |
| Provider Name | Tabitha Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922874239 PECOS PAC ID: 9830538388 Enrollment ID: I20240416003388 |
| Provider Name | Susan M Hogan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649452681 PECOS PAC ID: 4284073420 Enrollment ID: I20240419002324 |
| Provider Name | Arlene Mcmillan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073266177 PECOS PAC ID: 3375982523 Enrollment ID: I20240419002701 |
| Provider Name | Christine Nicola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992240758 PECOS PAC ID: 0244512994 Enrollment ID: I20250203002800 |
| Provider Name | Olumide Remi-johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346920477 PECOS PAC ID: 3173987310 Enrollment ID: I20250211001744 |
| Provider Name | Nyshil Robin Roy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558188284 PECOS PAC ID: 3274053418 Enrollment ID: I20250219000519 |
| Provider Name | Jansen Lorraine Sl Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568135754 PECOS PAC ID: 0446696140 Enrollment ID: I20250404000520 |
Kevin Mcfarley, Ph.d. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3421 Bee Caves Rd., Austin, TX 78746 Phone: 512-328-2875 Fax: 512-328-1924 | |
Develop Common Ground, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5708 Penny Creek Dr, Austin, TX 78759 Phone: 512-231-1721 | |
Neurowellness Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1779 Wells Branch Pkwy, 110b, Austin, TX 78728 Phone: 512-810-8948 | |
Fadya Psychotherapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2525 Wallingwood Dr, Bldg 7c, Austin, TX 78746 Phone: 512-589-5897 | |
Juno Counseling Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13625 Pond Springs Rd, Suite 104, Austin, TX 78729 Phone: 512-645-9388 | |
Compromiso Behavioral Health Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2028 E Ben White Blvd Ste 240-6024, Austin, TX 78741 Phone: 512-925-6024 | |
Emily Bent, Lpc, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 603 Arundel Rd, Austin, TX 78738 Phone: 919-949-5888 |