| Premier Neurofeedback & Counseling Services, Pllc | |
|
3500 Hillcrest Dr Ste 8 Waco TX 76708-3144 | |
| (254) 262-3506 | |
| (254) 262-3506 |
| Full Name | Premier Neurofeedback & Counseling Services, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 3500 Hillcrest Dr Ste 8, Waco, Texas |
| Authorized Official Name and Position | Barbara Carter (CREDENTIALING MANAGER) |
| Authorized Official Contact | 2147258062 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Neurofeedback & Counseling Services, Pllc 3500 Hillcrest Dr Ste 8 Waco TX 76708-3144 Ph: (254) 848-6284 | Premier Neurofeedback & Counseling Services, Pllc 3500 Hillcrest Dr Ste 8 Waco TX 76708-3144 Ph: (254) 262-3506 |
| NPI Number | 1235620568 |
|---|---|
| Provider Enumeration Date | 05/22/2018 |
| Last Update Date | 03/05/2024 |
| Certification Date | 03/05/2024 |
| Medicare PECOS PAC ID | 1658724810 |
|---|---|
| Medicare Enrollment ID | O20240124003192 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235620568 | NPI | - | NPPES |
| 391171101 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 63523 (Texas) | Primary |
| Provider Name | Jason Paul Wilson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1639948334 PECOS PAC ID: 2860844362 Enrollment ID: I20240119004015 |
| Provider Name | Kristy M Donaldson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871867176 PECOS PAC ID: 9739532995 Enrollment ID: I20240124003348 |
| Provider Name | Heather Noel Carey |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1760121966 PECOS PAC ID: 4880047760 Enrollment ID: I20240126002063 |
| Provider Name | John Willis Ward |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497427868 PECOS PAC ID: 6103269469 Enrollment ID: I20240205000365 |
| Provider Name | Whitney Nicole Posey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306500319 PECOS PAC ID: 3870036841 Enrollment ID: I20240618003472 |
| Provider Name | Sierra Jade Eary |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275351629 PECOS PAC ID: 0042742561 Enrollment ID: I20241022001416 |
| Provider Name | Maggie Ann Thayer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699527622 PECOS PAC ID: 2769903541 Enrollment ID: I20250310001448 |
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