- Mental Health Clinic in Portland, TX

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is a mental health clinic (Counselor - Mental Health) in Portland, Texas. The current practice location for is 200 Marriott Dr, Portland, Texas. For appointments, you can reach them via phone at (361) 777-3991. The mailing address for is 200 Marriott Dr, Portland, Texas and phone number is (361) 777-3991.

is licensed to practice in * (Not Available) (license number ) and its NPI number is 1114057700. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (361) 777-3991.

Contact Information

200 Marriott Dr
Portland
TX 78374-2213
(361) 777-3991
(361) 777-0610

Map and Direction


Mental Health Clinic Profile

Full Name
SpecialityCounselor - Mental Health
Location200 Marriott Dr, Portland, Texas
Authorized Official Name and PositionLeonel Trejo (CHIEF EXECUTIVE OFFICER)
Authorized Official Contact3617773991
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

200 Marriott Dr
Portland
TX 78374-2213

Ph: (361) 777-3991
200 Marriott Dr
Portland
TX 78374-2213

Ph: (361) 777-3991

NPI Details:

NPI Number1114057700
Provider Enumeration Date03/06/2007
Last Update Date11/18/2024
Certification Date11/18/2024

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114057700NPI-NPPES
126843505MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (Not Available))Primary
261QM0801XClinic/center - Mental Health (including Community Mental Health Center) (* (Not Available))Secondary

Reviews and Comments

Counselor in Portland, TX


Mental Health Clinic
Medicare: Medicare Enrolled
Practice Location: 1700 Wildcat Dr Ste D, Portland, TX 78374
Phone: 361-445-4080    
Coastal Plains Community Mhmr Center
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 200 Marriott Dr, Portland, TX 78374
Phone: 361-777-3991    

Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1700 Wildcat Dr Ste D, Portland, TX 78374
Phone: 361-445-4080    Fax: 888-413-3010

Mental Health Clinic
Medicare: Medicare Enrolled
Practice Location: 200 Marriott Dr, Portland, TX 78374
Phone: 361-777-3991    Fax: 361-777-0610

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.