Krystal Nicodemus, LPC | |
777 International Pkwy Ste 260, Flower Mound, TX 75022-5303 | |
(972) 221-7900 | |
Not Available |
Full Name | Krystal Nicodemus |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 777 International Pkwy Ste 260, Flower Mound, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952025587 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 85621 (Texas) | Primary |
Entity Name | Geode Health Of Texas, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851037162 PECOS PAC ID: 2062896897 Enrollment ID: O20220829001698 |
Mailing Address | Practice Location Address |
---|---|
Krystal Nicodemus, LPC 4645 Avon Ln Ste 190b, Frisco, TX 75033-1549 Ph: (972) 259-0109 | Krystal Nicodemus, LPC 777 International Pkwy Ste 260, Flower Mound, TX 75022-5303 Ph: (972) 221-7900 |
Ashlynn Barnette, LPC, MMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 2670 Firewheel Dr Ste A, Flower Mound, TX 75028 Phone: 817-663-7633 | |
Mrs. Andrea Stillwell, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 2301 Olympia Suite 100, Flower Mound, TX 75028 Phone: 940-300-7986 | |
Andrew Eenigenburg, M.ED., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6021 Morriss Rd Ste 106, Flower Mound, TX 75028 Phone: 469-635-2200 | |
Kaitlinh Kiernan Leon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2280 Highland Village Rd Ste 150, Flower Mound, TX 75077 Phone: 972-498-1307 | |
Dr. Molly M Arnold, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 6021 Morriss Road, Suite 110a, Flower Mound, TX 75028 Phone: 972-754-7308 Fax: 972-219-9948 | |
Katherine Johnston, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 2670 Firewheel Dr Ste A, Flower Mound, TX 75028 Phone: 817-663-7633 | |
Mackenzie Ann Brasher, LMFT ASSOCIATE, LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2300 Olympia Dr Unit 270274, Flower Mound, TX 75027 Phone: 917-687-6876 |