| Beacon Behavioral Of Texas Pa | |
|
22 Prestige Circle Suite 300 Allen TX 75002 | |
| (214) 383-3200 | |
| (214) 383-3211 |
| Full Name | Beacon Behavioral Of Texas Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 22 Prestige Circle, Allen, Texas |
| Authorized Official Name and Position | Alexis Thomason (DIRECTOR OF REVENUE CYCLE MANAGEMEN) |
| Authorized Official Contact | 2254362529 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beacon Behavioral Of Texas Pa 22 Prestige Circle Suite 300 Allen TX 75002 Ph: (214) 383-3200 | Beacon Behavioral Of Texas Pa 22 Prestige Circle Suite 300 Allen TX 75002 Ph: (214) 383-3200 |
| NPI Number | 1053545335 |
|---|---|
| Provider Enumeration Date | 05/14/2009 |
| Last Update Date | 07/23/2024 |
| Certification Date | 07/23/2024 |
| Medicare PECOS PAC ID | 3678626256 |
|---|---|
| Medicare Enrollment ID | O20090729000536 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053545335 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Alice R Mao |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851309488 PECOS PAC ID: 4385627629 Enrollment ID: I20040609000403 |
| Provider Name | Ian L Smalling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114971033 PECOS PAC ID: 0446226112 Enrollment ID: I20040903000202 |
| Provider Name | Brian S Earthman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528095882 PECOS PAC ID: 7719929835 Enrollment ID: I20050527000525 |
| Provider Name | Matthew N Brams |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639187263 PECOS PAC ID: 8820008303 Enrollment ID: I20060427000575 |
| Provider Name | Robert B Freele |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851317101 PECOS PAC ID: 8729084314 Enrollment ID: I20061004000271 |
| Provider Name | James Avery Rush |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992975841 PECOS PAC ID: 9436223609 Enrollment ID: I20080806000250 |
| Provider Name | Jeannie M Sorgen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598815185 PECOS PAC ID: 7911065503 Enrollment ID: I20081027000353 |
| Provider Name | Tonia M Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861638512 PECOS PAC ID: 8224195987 Enrollment ID: I20090324000537 |
| Provider Name | Bernard M Gerber |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588616254 PECOS PAC ID: 2961691894 Enrollment ID: I20110107000827 |
| Provider Name | Arturo F Rios |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801848502 PECOS PAC ID: 3870782709 Enrollment ID: I20110107000863 |
| Provider Name | Cathal P Grant |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255384145 PECOS PAC ID: 6406036185 Enrollment ID: I20110212000108 |
| Provider Name | Joel A Holiner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639174246 PECOS PAC ID: 4284630872 Enrollment ID: I20110308000950 |
| Provider Name | Thu Thi Ngo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730456898 PECOS PAC ID: 6901069392 Enrollment ID: I20120522001280 |
| Provider Name | Hayley E Maislos |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225292527 PECOS PAC ID: 0244484871 Enrollment ID: I20130208000004 |
| Provider Name | Sandra F Dejesus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265783179 PECOS PAC ID: 8527202704 Enrollment ID: I20130910000832 |
| Provider Name | Terra Tyler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356584056 PECOS PAC ID: 1759536485 Enrollment ID: I20141125001859 |
| Provider Name | Michelle A Obale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619301223 PECOS PAC ID: 4688990807 Enrollment ID: I20150306000642 |
| Provider Name | Sarah Fedak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962879460 PECOS PAC ID: 8426351594 Enrollment ID: I20160122001892 |
| Provider Name | Ellen Chiao Lee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295026326 PECOS PAC ID: 9739486952 Enrollment ID: I20160401000780 |
| Provider Name | Dawn Soland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053702316 PECOS PAC ID: 5395655724 Enrollment ID: I20160422000061 |
| Provider Name | Brie Elizabeth Alford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447546387 PECOS PAC ID: 5799926739 Enrollment ID: I20170208000040 |
| Provider Name | Marco A Katada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003224932 PECOS PAC ID: 7911215280 Enrollment ID: I20170913000825 |
| Provider Name | Nicole A Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700397726 PECOS PAC ID: 0840558250 Enrollment ID: I20171212002827 |
| Provider Name | Sonya D Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427092394 PECOS PAC ID: 8022012715 Enrollment ID: I20180102002083 |
| Provider Name | Eric D Mann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184040404 PECOS PAC ID: 3173886777 Enrollment ID: I20180412002253 |
| Provider Name | Kimberly Riddlespurger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194239079 PECOS PAC ID: 4385999788 Enrollment ID: I20180626000156 |
| Provider Name | Adaeze Meremikwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336625219 PECOS PAC ID: 5799024204 Enrollment ID: I20190228000307 |
| Provider Name | Emily S Stanford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245718303 PECOS PAC ID: 9537492855 Enrollment ID: I20190531000412 |
| Provider Name | Melanie M Stolte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255996997 PECOS PAC ID: 0042547283 Enrollment ID: I20190809001507 |
| Provider Name | Natalie J Tellez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730433947 PECOS PAC ID: 8921436502 Enrollment ID: I20200313000446 |
| Provider Name | Linh Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083172225 PECOS PAC ID: 0345670923 Enrollment ID: I20200422001968 |
| Provider Name | Shamika Ottley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376173559 PECOS PAC ID: 2961827472 Enrollment ID: I20200730003663 |
| Provider Name | Kellie Lynn Westmoreland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740811934 PECOS PAC ID: 9133546914 Enrollment ID: I20200825001002 |
| Provider Name | Brandi Michelle Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699315879 PECOS PAC ID: 6800202441 Enrollment ID: I20210308000423 |
| Provider Name | Rae Lynne Robertson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225705056 PECOS PAC ID: 0345638151 Enrollment ID: I20211028000505 |
| Provider Name | Augusta Chika Anyama |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972126001 PECOS PAC ID: 7810906765 Enrollment ID: I20220111000802 |
| Provider Name | Luisa Angeles Collins Villares |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952947863 PECOS PAC ID: 0244623429 Enrollment ID: I20220210002661 |
| Provider Name | Brandi Gebhardt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780336982 PECOS PAC ID: 4981947678 Enrollment ID: I20220516000663 |
| Provider Name | Monica Grover |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386991073 PECOS PAC ID: 8123311560 Enrollment ID: I20221020000470 |
| Provider Name | Linda U Ejem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578284022 PECOS PAC ID: 8820468366 Enrollment ID: I20221228001134 |
| Provider Name | Emmanuel Kayode |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083311880 PECOS PAC ID: 3577923077 Enrollment ID: I20230715000200 |
| Provider Name | Scheena Shirika Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467110486 PECOS PAC ID: 8325484785 Enrollment ID: I20240308000358 |
| Provider Name | Lynda Alila |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205693884 PECOS PAC ID: 4284073974 Enrollment ID: I20240415000626 |
| Provider Name | Sarah Riehl |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104053206 PECOS PAC ID: 3173767217 Enrollment ID: I20240422003073 |
| Provider Name | Paige Madison Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356019285 PECOS PAC ID: 5193165124 Enrollment ID: I20240424002744 |
| Provider Name | Camille Holiner |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1124793351 PECOS PAC ID: 1658813399 Enrollment ID: I20240610000634 |
| Provider Name | Toni-ann Ashley Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033813852 PECOS PAC ID: 4082158795 Enrollment ID: I20240703004094 |
| Provider Name | Grace Akangbe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780335992 PECOS PAC ID: 7214474162 Enrollment ID: I20240808004046 |
| Provider Name | Courtney Olivia Dixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679274690 PECOS PAC ID: 0143768879 Enrollment ID: I20240813003172 |
| Provider Name | Anh Duc Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801522404 PECOS PAC ID: 4688113137 Enrollment ID: I20240828001389 |
| Provider Name | Lyna Phuong Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841020203 PECOS PAC ID: 9638603855 Enrollment ID: I20241111003807 |
| Provider Name | Surya Abraham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780105312 PECOS PAC ID: 8224564406 Enrollment ID: I20241211002430 |
| Provider Name | Mark Mcfaul |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881025179 PECOS PAC ID: 1052837127 Enrollment ID: I20250501001750 |
| Provider Name | Emily Maberry |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679897789 PECOS PAC ID: 5294246799 Enrollment ID: I20250612002361 |
Behavioral Health Assessments Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1410 Glasgow Ln, Allen, TX 75013 Phone: 800-207-1592 | |
Fisher Psychological Services, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 852 Llano Dr, Allen, TX 75013 Phone: 614-804-0171 | |
Reece Consulting Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 825 Watters Creek Blvd Ste 250, Allen, TX 75013 Phone: 945-253-5195 Fax: 469-713-2432 | |
Thompson Counseling And Family Therapy, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1514 N Greenville Ave Ste 310, Allen, TX 75002 Phone: 972-679-2167 | |
American Healthcare Holdings Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 S Jupiter Rd Ste 150, Allen, TX 75002 Phone: 469-543-7674 Fax: 469-991-6777 | |
Penny 4 Your Thoughts Counseling, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 550 S Watters Rd Ste 230, Allen, TX 75013 Phone: 214-415-0178 | |
Maddox Services Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1206 Rio Grande Ct, Allen, TX 75013 Phone: 254-856-1210 |