Mr Timothy John Enevoldsen, MED, LPC, LMFT - Counselor in Amarillo, TX

Mr Timothy John Enevoldsen, MED, LPC, LMFT is a Counselor - Professional based in Amarillo, Texas. Mr Timothy John Enevoldsen is licensed to practice in Texas (license number 10727) and his current practice location is 6666 W Amarillo Blvd, Suite 28, Amarillo, Texas. He can be reached at his office (for appointments etc.) via phone at (806) 570-3775.

NPI number for Mr Timothy John Enevoldsen is 1851404206 and his current mailing address is Po Box 50291, Amarillo, Texas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1851404206.

Contact Information

Mr Timothy John Enevoldsen, MED, LPC, LMFT
6666 W Amarillo Blvd, Suite 28,
Amarillo, TX 79106-1756
(806) 570-3775
(806) 356-8189

Map and Direction


Healthcare Provider's Profile

Full NameMr Timothy John Enevoldsen
GenderMale
SpecialityCounselor - Professional
Location6666 W Amarillo Blvd, Amarillo, Texas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1851404206
  • Provider Enumeration Date: 08/17/2006
  • Last Update Date: 06/17/2008

Medical Identifiers

Medical identifiers for Mr Timothy John Enevoldsen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851404206NPI-NPPES
095362201MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YP2500XCounselor - Professional 10727 (Texas)Primary
106H00000XMarriage & Family Therapist 003822-042155 (Texas)Secondary

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. Mr Timothy John Enevoldsen is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Timothy John Enevoldsen, MED, LPC, LMFT
Po Box 50291,
Amarillo, TX 79159-0291

Ph: (806) 570-3775
Mr Timothy John Enevoldsen, MED, LPC, LMFT
6666 W Amarillo Blvd, Suite 28,
Amarillo, TX 79106-1756

Ph: (806) 570-3775

Reviews and Comments


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