| Andrews Center | |
|
2323 W Front St Tyler TX 75702-7747 | |
| (903) 597-1351 | |
| (903) 535-7384 |
| Full Name | Andrews Center |
|---|---|
| Speciality | Counselor |
| Location | 2323 W Front St, Tyler, Texas |
| Authorized Official Name and Position | Sheree Johnson (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 0395971351 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Andrews Center Po Box 4730 Tyler TX 75712-4730 Ph: (039) 535-7358 | Andrews Center 2323 W Front St Tyler TX 75702-7747 Ph: (903) 597-1351 |
| NPI Number | 1821064742 |
|---|---|
| Provider Enumeration Date | 02/28/2006 |
| Last Update Date | 11/03/2023 |
| Certification Date | 11/03/2023 |
| Medicare PECOS PAC ID | 9739170770 |
|---|---|
| Medicare Enrollment ID | O20040519001179 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821064742 | NPI | - | NPPES |
| 138365507 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| Provider Name | Kathy Wakefield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063481380 PECOS PAC ID: 1153395934 Enrollment ID: I20040826000077 |
| Provider Name | David Danly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376519272 PECOS PAC ID: 5991765513 Enrollment ID: I20041018000426 |
| Provider Name | David J Korman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942204755 PECOS PAC ID: 9739287541 Enrollment ID: I20070601000233 |
| Provider Name | Ndukwe Uduma |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689768525 PECOS PAC ID: 4284635186 Enrollment ID: I20071015000445 |
| Provider Name | Douglas Ghrist |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740474519 PECOS PAC ID: 3779660733 Enrollment ID: I20080402000043 |
| Provider Name | Steffani L Powell |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1881870244 PECOS PAC ID: 7719051499 Enrollment ID: I20080729000376 |
| Provider Name | Robin E Hostetter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003972829 PECOS PAC ID: 1355499260 Enrollment ID: I20091130000070 |
| Provider Name | Holly Colleen Dubois |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518086511 PECOS PAC ID: 4880773092 Enrollment ID: I20100513001132 |
| Provider Name | Wesley E Pemberton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972752954 PECOS PAC ID: 1052442985 Enrollment ID: I20100622000043 |
| Provider Name | Timothy Furlong |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629044557 PECOS PAC ID: 4082807714 Enrollment ID: I20101026000522 |
| Provider Name | Carolyn M Rekerdres |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104020346 PECOS PAC ID: 7911195367 Enrollment ID: I20101229000339 |
| Provider Name | Stephen Dai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629271432 PECOS PAC ID: 0244416964 Enrollment ID: I20110513000655 |
| Provider Name | Johnes B Monyoncho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427301597 PECOS PAC ID: 4587815048 Enrollment ID: I20121108000620 |
| Provider Name | Kellye N Singletary |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063433324 PECOS PAC ID: 5698918480 Enrollment ID: I20130829000722 |
| Provider Name | Jawad Riaz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962425280 PECOS PAC ID: 9335185446 Enrollment ID: I20131021001316 |
| Provider Name | Rabab Rizvi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326269382 PECOS PAC ID: 6002042165 Enrollment ID: I20131119001280 |
| Provider Name | Seema S Varghees |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568625044 PECOS PAC ID: 5193953313 Enrollment ID: I20140116000155 |
| Provider Name | Yan Cao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033443700 PECOS PAC ID: 9830232263 Enrollment ID: I20140513001481 |
| Provider Name | Victor G Stiebel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164423364 PECOS PAC ID: 7719889278 Enrollment ID: I20140811000605 |
| Provider Name | Gollavelli Krishna |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871754036 PECOS PAC ID: 5092779223 Enrollment ID: I20141018000097 |
| Provider Name | Robin Diane Villena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366841942 PECOS PAC ID: 2466673041 Enrollment ID: I20141023001742 |
| Provider Name | Deana G Abdel-reheim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467696591 PECOS PAC ID: 7315169984 Enrollment ID: I20141114001510 |
| Provider Name | Silby J George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518362623 PECOS PAC ID: 5294053914 Enrollment ID: I20150409000662 |
| Provider Name | Richard Idell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437474889 PECOS PAC ID: 2769796622 Enrollment ID: I20150805008695 |
| Provider Name | Justin M Scaffa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386026995 PECOS PAC ID: 2163738964 Enrollment ID: I20150824001983 |
| Provider Name | Odochi P Onungwa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811373673 PECOS PAC ID: 4183790678 Enrollment ID: I20151125000322 |
| Provider Name | Anandkumar B Panchal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629453303 PECOS PAC ID: 7810291408 Enrollment ID: I20160202000337 |
| Provider Name | Philip Pippin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902218241 PECOS PAC ID: 6305144809 Enrollment ID: I20161209001349 |
| Provider Name | Jennifer Christopher Rettig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265977144 PECOS PAC ID: 0941582498 Enrollment ID: I20170118002577 |
| Provider Name | Katherine A Tharp |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558743070 PECOS PAC ID: 2466732565 Enrollment ID: I20170223001905 |
| Provider Name | Jessica C Reuben |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083974992 PECOS PAC ID: 9537441654 Enrollment ID: I20170717001292 |
| Provider Name | Alicia A Vasquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861915266 PECOS PAC ID: 0941573588 Enrollment ID: I20170905000037 |
| Provider Name | Lindsey F Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881117208 PECOS PAC ID: 0042584591 Enrollment ID: I20170921001529 |
| Provider Name | Marguerite M Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891186789 PECOS PAC ID: 7719244797 Enrollment ID: I20171129001710 |
| Provider Name | Sandra Neli Diaz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730539602 PECOS PAC ID: 2466732219 Enrollment ID: I20180208000469 |
| Provider Name | Cieja Chapman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154833713 PECOS PAC ID: 6507127412 Enrollment ID: I20180309000176 |
| Provider Name | Jennifer C Schaefer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750782215 PECOS PAC ID: 0941508139 Enrollment ID: I20180702001323 |
| Provider Name | Daniel R Lavin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750676532 PECOS PAC ID: 3072883859 Enrollment ID: I20181207000870 |
| Provider Name | Zachary Robert Drennan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841728011 PECOS PAC ID: 8325317076 Enrollment ID: I20190123000520 |
| Provider Name | Jamon Blood |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316333552 PECOS PAC ID: 8426341926 Enrollment ID: I20190130001747 |
| Provider Name | Kelly A Campbell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205240611 PECOS PAC ID: 9739478595 Enrollment ID: I20190828002958 |
| Provider Name | Ralph Hemerson De Similien |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013355676 PECOS PAC ID: 9335414010 Enrollment ID: I20200117001820 |
| Provider Name | Pamela Summers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982240776 PECOS PAC ID: 8224465083 Enrollment ID: I20200218000286 |
| Provider Name | Amanda Blalock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740681279 PECOS PAC ID: 4789011164 Enrollment ID: I20200225000294 |
| Provider Name | Tiya Shalyse Johnson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154696359 PECOS PAC ID: 6507148764 Enrollment ID: I20200807001467 |
| Provider Name | Katherine E Kerr |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427433226 PECOS PAC ID: 6507147535 Enrollment ID: I20200810003690 |
| Provider Name | Stella Osuagwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316551047 PECOS PAC ID: 4486062841 Enrollment ID: I20210423000553 |
| Provider Name | Andrew Mellon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285164913 PECOS PAC ID: 6709150121 Enrollment ID: I20220518002742 |
| Provider Name | James Baughman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932861580 PECOS PAC ID: 0042683757 Enrollment ID: I20230228002068 |
| Provider Name | Jenneah K Lee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497536668 PECOS PAC ID: 8224486873 Enrollment ID: I20231121001383 |
| Provider Name | Bonnie Bury Blattman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669937041 PECOS PAC ID: 4486003126 Enrollment ID: I20231207000238 |
| Provider Name | Joshua Chartier |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437541596 PECOS PAC ID: 4082050489 Enrollment ID: I20240307002653 |
| Provider Name | Adonia Karisse Arriola |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396215604 PECOS PAC ID: 3072959154 Enrollment ID: I20240312000563 |
| Provider Name | Neisha Lestage |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982670865 PECOS PAC ID: 5496193898 Enrollment ID: I20240404001037 |
| Provider Name | Ashley Marie Davis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275892135 PECOS PAC ID: 9537507884 Enrollment ID: I20240404003313 |
| Provider Name | Nicole Rhea Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407626658 PECOS PAC ID: 9436597473 Enrollment ID: I20240409004644 |
University Of Texas Health Science Center At Tyler Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 11937 Us Highway 271, Tyler, TX 75708 Phone: 903-877-7777 | |
Purple Crayon Counseling, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 E Front St Ste 227, Tyler, TX 75702 Phone: 903-287-0646 Fax: 903-560-9500 | |
Mission Partner Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 16159 Chris Ln, Tyler, TX 75703 Phone: 903-839-9396 | |
Willow Bend Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2902 State Highway 31 E, Tyler, TX 75702 Phone: 903-596-8900 Fax: 903-596-8903 | |
Trinity Integrative Care, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 12863 County Road 192, Tyler, TX 75703 Phone: 903-805-0229 | |
Paideia Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3815 Pine Manor Dr, Tyler, TX 75701 Phone: 907-885-5955 | |
Ron L Roberts Ms Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 606 S Fleishel Ave, Tyler, TX 75701 Phone: 903-581-0933 Fax: 903-581-3977 |