| Carousel Clinical Services | |
|
213 Us Highway 259 N Ore City TX 75683-2106 | |
| (903) 968-4641 | |
| Not Available |
| Full Name | Carousel Clinical Services |
|---|---|
| Speciality | Psychologist |
| Location | 213 Us Highway 259 N, Ore City, Texas |
| Authorized Official Name and Position | Mary Annette Brittain (PRESIDENT/CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 9039684641 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carousel Clinical Services Po Box 398 Ore City TX 75683-0398 Ph: (903) 968-4641 | Carousel Clinical Services 213 Us Highway 259 N Ore City TX 75683-2106 Ph: (903) 968-4641 |
| NPI Number | 1285650457 |
|---|---|
| Provider Enumeration Date | 07/14/2006 |
| Last Update Date | 07/23/2019 |
| Medicare PECOS PAC ID | 2668455221 |
|---|---|
| Medicare Enrollment ID | O20040612000558 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285650457 | NPI | - | NPPES |
| 388959401 | Medicaid | TX | |
| DC7751 | Other | TX | RAIL ROAD MEDICARE PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Angus D Walker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699875872 PECOS PAC ID: 6103721030 Enrollment ID: I20031204000346 |
| Provider Name | James B Currin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700999323 PECOS PAC ID: 1355331117 Enrollment ID: I20040513001192 |
| Provider Name | Stephen C. Westmoreland |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023103603 PECOS PAC ID: 9436131190 Enrollment ID: I20040605000034 |
| Provider Name | Michael E Walker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932265808 PECOS PAC ID: 8325024631 Enrollment ID: I20040628000505 |
| Provider Name | Thomas H Sheriff |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144299819 PECOS PAC ID: 0749238038 Enrollment ID: I20050104000114 |
| Provider Name | Avanell P Oates |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164420709 PECOS PAC ID: 1052366879 Enrollment ID: I20050315001154 |
| Provider Name | Robert W Mckenzie |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700905957 PECOS PAC ID: 9931095023 Enrollment ID: I20050407000774 |
| Provider Name | Jerome B Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538162045 PECOS PAC ID: 4284524661 Enrollment ID: I20050922001173 |
| Provider Name | Elizabeth C. Copes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578749479 PECOS PAC ID: 8123102035 Enrollment ID: I20080229000423 |
| Provider Name | Marla K English-pickett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013163013 PECOS PAC ID: 0345308185 Enrollment ID: I20081022000465 |
| Provider Name | Ronald J Jereb |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356350912 PECOS PAC ID: 4284792375 Enrollment ID: I20090327000338 |
| Provider Name | Sharon E Reynolds |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326285438 PECOS PAC ID: 5092969105 Enrollment ID: I20130124000496 |
| Provider Name | Adami Gabriel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710285440 PECOS PAC ID: 3173848140 Enrollment ID: I20150216000067 |
| Provider Name | Benjamin Daniel Boynton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508225145 PECOS PAC ID: 4183928963 Enrollment ID: I20160216000267 |
| Provider Name | Gail Watson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659673580 PECOS PAC ID: 9436330859 Enrollment ID: I20180814003965 |
| Provider Name | Debra B Bush |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386001022 PECOS PAC ID: 6406194216 Enrollment ID: I20190220001256 |
| Provider Name | Jonathan R Squyres |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285629055 PECOS PAC ID: 4486995842 Enrollment ID: I20190411002126 |
| Provider Name | Donya B Blair Tischer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699174326 PECOS PAC ID: 1951682384 Enrollment ID: I20190925003406 |
| Provider Name | Amber L Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700372299 PECOS PAC ID: 5890025910 Enrollment ID: I20191002002048 |
| Provider Name | Deanna E Robinson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588293773 PECOS PAC ID: 9638509151 Enrollment ID: I20200424001861 |
| Provider Name | Cheryl Yvette Lewis-battles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578107637 PECOS PAC ID: 2163834896 Enrollment ID: I20201222000022 |
| Provider Name | Nicole R Davis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619217924 PECOS PAC ID: 8527473297 Enrollment ID: I20210211000905 |
| Provider Name | Amber N Lockman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265023881 PECOS PAC ID: 9335548882 Enrollment ID: I20210603000722 |
| Provider Name | Brandi Ann Brittain |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023692670 PECOS PAC ID: 5193126506 Enrollment ID: I20210623000888 |
| Provider Name | Jasmine D Cobb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972262897 PECOS PAC ID: 2264826387 Enrollment ID: I20220304001969 |
| Provider Name | Chelsea L Delorge |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285317792 PECOS PAC ID: 7113381963 Enrollment ID: I20230912001927 |
| Provider Name | Hemp W Hall |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932118379 PECOS PAC ID: 3274981964 Enrollment ID: I20231117002379 |
| Provider Name | Billy D Crawford |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053436048 PECOS PAC ID: 7315395019 Enrollment ID: I20231117002594 |
| Provider Name | Bailey B Shepherd |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174203608 PECOS PAC ID: 8820446529 Enrollment ID: I20231117002767 |
| Provider Name | Terri E Eastepp |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659724698 PECOS PAC ID: 7719335421 Enrollment ID: I20231117002885 |
| Provider Name | Debra K Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942351713 PECOS PAC ID: 0345698635 Enrollment ID: I20231127003397 |
| Provider Name | Suzanne T Pipkin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003949801 PECOS PAC ID: 7012365224 Enrollment ID: I20231129000991 |
| Provider Name | Althea Thompson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750531216 PECOS PAC ID: 1658722624 Enrollment ID: I20240104001270 |
| Provider Name | Marguerite A Braden |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851781264 PECOS PAC ID: 9234576851 Enrollment ID: I20240319001380 |
| Provider Name | Joan W Ellason |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396801403 PECOS PAC ID: 2567809825 Enrollment ID: I20240321002990 |
| Provider Name | Christy N Copeland |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811635147 PECOS PAC ID: 8224479969 Enrollment ID: I20240513003522 |