| Central Counties Center For Mental Health & Mental Retardation Srvs | |
|
304 S 22nd St Temple TX 76501-4726 | |
| (254) 298-7000 | |
| Not Available |
| Full Name | Central Counties Center For Mental Health & Mental Retardation Srvs |
|---|---|
| Speciality | Counselor |
| Location | 304 S 22nd St, Temple, Texas |
| Authorized Official Name and Position | Johnnette Wardell (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2542987007 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Counties Center For Mental Health & Mental Retardation Srvs 304 S 22nd St Temple TX 76501-4726 Ph: () - | Central Counties Center For Mental Health & Mental Retardation Srvs 304 S 22nd St Temple TX 76501-4726 Ph: (254) 298-7000 |
| NPI Number | 1356310585 |
|---|---|
| Provider Enumeration Date | 03/17/2006 |
| Last Update Date | 02/10/2022 |
| Certification Date | 02/10/2022 |
| Medicare PECOS PAC ID | 1658341359 |
|---|---|
| Medicare Enrollment ID | O20040803000542 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356310585 | NPI | - | NPPES |
| 029168401 | Medicaid | TX | |
| 081771001 | Medicaid | TX | |
| 121984202 | Medicaid | TX | |
| 121984201 | Medicaid | TX | |
| 151116401 | Medicaid | TX |
| Provider Name | Shannon C Lowery-garza |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669666780 PECOS PAC ID: 6406882851 Enrollment ID: I20050718000036 |
| Provider Name | Linda K Fortmeier-saucier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811912223 PECOS PAC ID: 4183622079 Enrollment ID: I20061202000059 |
| Provider Name | Peter J Pelogitis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962592089 PECOS PAC ID: 4789686825 Enrollment ID: I20070202000331 |
| Provider Name | Camille M Pousson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144265653 PECOS PAC ID: 4880696731 Enrollment ID: I20070207000013 |
| Provider Name | Martin D Barrick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568526721 PECOS PAC ID: 1658476163 Enrollment ID: I20070411000403 |
| Provider Name | Shamji P Badhiwala |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700841251 PECOS PAC ID: 6709974686 Enrollment ID: I20071109000230 |
| Provider Name | Preeti Sodhi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033268065 PECOS PAC ID: 7113089152 Enrollment ID: I20081229000377 |
| Provider Name | Olen Baker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093807554 PECOS PAC ID: 3779629027 Enrollment ID: I20090930000317 |
| Provider Name | Shauna S Reid |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396949533 PECOS PAC ID: 8628241817 Enrollment ID: I20111103000602 |
| Provider Name | Laurie K Seremetis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396976668 PECOS PAC ID: 0840466041 Enrollment ID: I20120109000948 |
| Provider Name | Ni Ni Swe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609976083 PECOS PAC ID: 6608034095 Enrollment ID: I20120214000487 |
| Provider Name | Aarti Kaul |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780828954 PECOS PAC ID: 2466695952 Enrollment ID: I20130903000157 |
| Provider Name | Marikje O Shreeve |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134450067 PECOS PAC ID: 4587793815 Enrollment ID: I20140205000454 |
| Provider Name | Daniel F Shreeve |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760597082 PECOS PAC ID: 9739156589 Enrollment ID: I20140519000126 |
| Provider Name | Nikaiya G Pratt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225570328 PECOS PAC ID: 5395020986 Enrollment ID: I20170322000970 |
| Provider Name | Raquel C Salinas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255869749 PECOS PAC ID: 5597035790 Enrollment ID: I20170720002535 |
| Provider Name | Consuela D Witherspoon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497802516 PECOS PAC ID: 8426307372 Enrollment ID: I20180827000161 |
| Provider Name | Hilda A Brown-prier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952730939 PECOS PAC ID: 0648504092 Enrollment ID: I20190619000966 |
| Provider Name | Comfort Pokoo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942860259 PECOS PAC ID: 2668702341 Enrollment ID: I20190923002518 |
| Provider Name | Catherine I Nnadozie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235695008 PECOS PAC ID: 6002149036 Enrollment ID: I20200211002192 |
| Provider Name | Alyce R Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215579644 PECOS PAC ID: 4284063751 Enrollment ID: I20200403001604 |
| Provider Name | Brian V Clinton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811481898 PECOS PAC ID: 2365799798 Enrollment ID: I20200812002785 |
| Provider Name | Christy N Nors |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811584105 PECOS PAC ID: 1951719806 Enrollment ID: I20210414002180 |
| Provider Name | Taha Ansari |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538512629 PECOS PAC ID: 0749515948 Enrollment ID: I20210707002646 |
| Provider Name | Jody E Mountcastle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689791089 PECOS PAC ID: 3678735545 Enrollment ID: I20211029001237 |
| Provider Name | Angelia E Rickey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215658620 PECOS PAC ID: 6305213315 Enrollment ID: I20221103003354 |
| Provider Name | Carrie E Brunson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558072439 PECOS PAC ID: 5193195097 Enrollment ID: I20230111001386 |
| Provider Name | Ann Ginikanwa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083328611 PECOS PAC ID: 6103290655 Enrollment ID: I20230323001563 |
| Provider Name | Kayleigh M Anderson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740680750 PECOS PAC ID: 6507215316 Enrollment ID: I20231205003007 |
| Provider Name | Cherica Allen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851914923 PECOS PAC ID: 9436508298 Enrollment ID: I20231206000923 |
| Provider Name | Elizabeth A Norris |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780292474 PECOS PAC ID: 1951751122 Enrollment ID: I20231229002448 |
| Provider Name | Michelle T Moore |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700423969 PECOS PAC ID: 5193175388 Enrollment ID: I20240101000016 |
| Provider Name | Christina A Ballard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669120275 PECOS PAC ID: 7618328634 Enrollment ID: I20240103004439 |
| Provider Name | Sally C Tixier |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487384889 PECOS PAC ID: 7315398336 Enrollment ID: I20240103004558 |
| Provider Name | Daniella L Mills |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053938563 PECOS PAC ID: 4587015466 Enrollment ID: I20240104001990 |
| Provider Name | Doug D Wells |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356704993 PECOS PAC ID: 7810349701 Enrollment ID: I20240116003324 |
| Provider Name | Paola N Mcintosh |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326628157 PECOS PAC ID: 5698127074 Enrollment ID: I20240122002679 |
| Provider Name | James Arnold |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093119349 PECOS PAC ID: 5597117879 Enrollment ID: I20240123001453 |
| Provider Name | Renee M Woodson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366014516 PECOS PAC ID: 1052764214 Enrollment ID: I20240124003055 |
| Provider Name | Carlos M Sanchez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912271727 PECOS PAC ID: 0547603615 Enrollment ID: I20240206000476 |
| Provider Name | Susan E Quintana |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740831841 PECOS PAC ID: 0840633483 Enrollment ID: I20240209003584 |
| Provider Name | Christen M Barnum-bishop |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285389502 PECOS PAC ID: 0547600496 Enrollment ID: I20240425003557 |
Momentum Behavioral Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3810 Twilight Dr, Temple, TX 76502 Phone: 254-791-9629 | |
Outreach Therapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1023 Canyon Creek Dr Ste 105, Temple, TX 76502 Phone: 254-338-3175 Fax: 254-265-7061 | |
Contour Counseling Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2027 S 61st St Ste 121, Temple, TX 76504 Phone: 254-892-4991 | |
Central Texas Veterans Healthcare System Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5105 Waterford Dr, Temple, TX 76502 Phone: 254-220-9456 Fax: 254-743-0178 | |
Barker Jackson & Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1810 Marlandwood Rd, 8207, Temple, TX 76502 Phone: 512-638-2366 | |
Aspiring Minds Counseling Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3320 Pecan Valley Dr Ste G, Temple, TX 76502 Phone: 254-444-1535 | |
Monarch Counseling Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2118 Birdcreek Dr Ste 100, Temple, TX 76502 Phone: 254-598-2266 |