Mind And Motion Pllc is a medicare enrolled "Counselor - Professional" provider in Tyler, Texas. Their current practice location is
7925 S Broadway Ave Ste 920, Tyler, Texas. You can reach out to their office (for appointments etc.) via phone at
(903) 282-5205.
Mind And Motion Pllc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Mind And Motion Pllc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1417705872.
Healthcare Provider's Profile
| Full Name | Mind And Motion Pllc |
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| Type | Facility |
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| Speciality | Counselor - Professional |
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| Location | 7925 S Broadway Ave Ste 920, Tyler, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1417705872
- Provider Enumeration Date: 05/10/2024
- Last Update Date: 09/18/2025
Medicare PECOS Information:
- PECOS PAC ID: 7810410347
- Enrollment ID: O20250325004175
Medical Identifiers
Medical identifiers for Mind And Motion Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1417705872 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Mind And Motion Pllc acts as a billing entity for following providers:
| Provider Name | Jennifer Ann Piazza |
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| Provider Type | Practitioner - Mental Health Counselor |
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| Provider Identifiers | NPI Number: 1124467964
PECOS PAC ID: 7416499264
Enrollment ID: I20240607000959 |
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| Provider Name | Chelsea Harper |
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| Provider Type | Practitioner - Marriage And Family Therapist |
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| Provider Identifiers | NPI Number: 1710423439
PECOS PAC ID: 5193252880
Enrollment ID: I20241218004383 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mind And Motion Pllc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Mind And Motion Pllc
7925 S Broadway Ave Ste 920,
Tyler, TX 75703-5227
Ph: (903) 251-9650 | Mind And Motion Pllc
7925 S Broadway Ave Ste 920,
Tyler, TX 75703-5227
Ph: (903) 282-5205 |
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