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508 Deep Eddy Ave. Austin TX 78703 | |
| (512) 956-6463 | |
| (512) 428-8100 |
| Full Name | |
|---|---|
| Speciality | Psychologist |
| Location | 508 Deep Eddy Ave., Austin, Texas |
| Authorized Official Name and Position | Glenn R. Olds (MANAGING PSYCHOLOGIST) |
| Authorized Official Contact | 5122179579 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
508 Deep Eddy Ave. Austin TX 78703 Ph: (512) 461-0239 | 508 Deep Eddy Ave. Austin TX 78703 Ph: (512) 956-6463 |
| NPI Number | 1457740862 |
|---|---|
| Provider Enumeration Date | 01/22/2015 |
| Last Update Date | 12/27/2022 |
| Certification Date | 12/27/2022 |
| Medicare PECOS PAC ID | 2264886936 |
|---|---|
| Medicare Enrollment ID | O20230928002745 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457740862 | NPI | - | NPPES |
| Provider Name | Kelly M Hays |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205892619 PECOS PAC ID: 9830089234 Enrollment ID: I20040318001093 |
| Provider Name | Matthew Snapp |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023024825 PECOS PAC ID: 6002876067 Enrollment ID: I20041013001352 |
| Provider Name | Caitlin Coyner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629479191 PECOS PAC ID: 8527382258 Enrollment ID: I20150128001451 |
| Provider Name | Mary K Owen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558442491 PECOS PAC ID: 8921309014 Enrollment ID: I20151215000086 |
| Provider Name | Leslee A Fray |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134230519 PECOS PAC ID: 1052695301 Enrollment ID: I20170304000093 |
| Provider Name | Steffanie S Strawbridge |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265810014 PECOS PAC ID: 7810264090 Enrollment ID: I20170518000117 |
| Provider Name | Vincent T Hochstatter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649784265 PECOS PAC ID: 9739447095 Enrollment ID: I20171215000317 |
| Provider Name | Lani Kay Hartnett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942702402 PECOS PAC ID: 6507129285 Enrollment ID: I20180410003132 |
| Provider Name | Rachel Mccarthy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982956165 PECOS PAC ID: 9234463597 Enrollment ID: I20190620002447 |
| Provider Name | Charles E Everett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386242386 PECOS PAC ID: 3577973486 Enrollment ID: I20201104002151 |
| Provider Name | Jovita Gutierrez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871101386 PECOS PAC ID: 4587073150 Enrollment ID: I20210511003136 |
| Provider Name | Casey N Janes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629788971 PECOS PAC ID: 2769856038 Enrollment ID: I20230328002068 |
| Provider Name | Cheryl L Foster |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548453566 PECOS PAC ID: 2466827464 Enrollment ID: I20230405000076 |
| Provider Name | Kelsey Gibbs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366141392 PECOS PAC ID: 5092174599 Enrollment ID: I20230630001498 |
| Provider Name | Gina L Warr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780849166 PECOS PAC ID: 8527420082 Enrollment ID: I20230815002669 |
| Provider Name | Tralynza Lashae Conley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992443790 PECOS PAC ID: 2567826423 Enrollment ID: I20230911002142 |
| Provider Name | Melissa Van Zalinge |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194502484 PECOS PAC ID: 1153775051 Enrollment ID: I20230926004039 |
| Provider Name | Kyler Shumway |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427414952 PECOS PAC ID: 8123477973 Enrollment ID: I20231206000306 |
| Provider Name | Tonya Annette Bradshaw |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245924851 PECOS PAC ID: 1052760782 Enrollment ID: I20231207000078 |
| Provider Name | Leslie M. Garber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407546773 PECOS PAC ID: 4284085549 Enrollment ID: I20240110005237 |
| Provider Name | Nicole Marie Muirhead Jimenez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881199099 PECOS PAC ID: 2163867094 Enrollment ID: I20240229003670 |
| Provider Name | Christian Elizabeth Ammons |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174200661 PECOS PAC ID: 9638518350 Enrollment ID: I20240415001705 |
| Provider Name | Bridget Aureli |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699373506 PECOS PAC ID: 0648619304 Enrollment ID: I20240415003468 |
| Provider Name | Jessica Schwen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437830114 PECOS PAC ID: 5991144479 Enrollment ID: I20240416004419 |
| Provider Name | Sheena Pooneh Yazdandoost |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407486434 PECOS PAC ID: 0446699946 Enrollment ID: I20240417000688 |
| Provider Name | Allison Millette |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548920218 PECOS PAC ID: 8426497942 Enrollment ID: I20240417001629 |
| Provider Name | Ryan M Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245677566 PECOS PAC ID: 5597104026 Enrollment ID: I20240417001776 |
| Provider Name | Audriana Sarmiento |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265208987 PECOS PAC ID: 7012356546 Enrollment ID: I20240417001844 |
| Provider Name | Elan Elena Lepovic |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811335037 PECOS PAC ID: 9537508932 Enrollment ID: I20240418001131 |
| Provider Name | Andrea P Greebon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194058065 PECOS PAC ID: 1759720162 Enrollment ID: I20240418001450 |
| Provider Name | Dane Deciero |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790174852 PECOS PAC ID: 4082053491 Enrollment ID: I20240418001634 |
| Provider Name | Kimberly Mcgoey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922614486 PECOS PAC ID: 4587003900 Enrollment ID: I20240418001903 |
| Provider Name | Matthew D. Halvorson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134629470 PECOS PAC ID: 7113366535 Enrollment ID: I20240418001911 |
| Provider Name | Giovanna Garcia Guzman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285365619 PECOS PAC ID: 0749629160 Enrollment ID: I20240418001958 |
| Provider Name | Megan Holden Brissenden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285864603 PECOS PAC ID: 1658710975 Enrollment ID: I20240419001488 |
| Provider Name | Mary Walke |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821744103 PECOS PAC ID: 4587058763 Enrollment ID: I20240419002264 |
| Provider Name | Rebekah Kate Coffield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619627726 PECOS PAC ID: 6204275449 Enrollment ID: I20240419002614 |
| Provider Name | Sarah Tresca |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093867988 PECOS PAC ID: 3577902733 Enrollment ID: I20240419003008 |
| Provider Name | Chantail Banks Green |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851018048 PECOS PAC ID: 6507205762 Enrollment ID: I20240419003280 |
| Provider Name | Merrik Laine Hetherington |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386238673 PECOS PAC ID: 1456790633 Enrollment ID: I20240421000080 |
| Provider Name | Bethel Sharon Moges |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336882406 PECOS PAC ID: 6901245117 Enrollment ID: I20240422001136 |
| Provider Name | Nicole Gayleen Porterpan-cassell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811763436 PECOS PAC ID: 5193164200 Enrollment ID: I20240422001499 |
| Provider Name | Anna Sophia Moscow Cohen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457012072 PECOS PAC ID: 3779922802 Enrollment ID: I20240422002197 |
| Provider Name | Jennifer Gonzalez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609235548 PECOS PAC ID: 8729427869 Enrollment ID: I20240422002395 |
| Provider Name | Mamta Chhabra |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205089430 PECOS PAC ID: 4880033943 Enrollment ID: I20240422003369 |
| Provider Name | Brenda Gomez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316661762 PECOS PAC ID: 2860831955 Enrollment ID: I20240423001004 |
| Provider Name | Christina Galindo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104539899 PECOS PAC ID: 4183063183 Enrollment ID: I20240423002156 |
| Provider Name | Anastasia Gonzales |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356983183 PECOS PAC ID: 9133568140 Enrollment ID: I20240423002385 |
| Provider Name | Tracy Keating Ward |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497081244 PECOS PAC ID: 7012356041 Enrollment ID: I20240423002820 |
| Provider Name | Aaron Dembe |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740991744 PECOS PAC ID: 0749629707 Enrollment ID: I20240423004338 |
| Provider Name | David Alexander Sands |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578277174 PECOS PAC ID: 3476992439 Enrollment ID: I20240423004347 |
| Provider Name | Gabrielle Tolentino Javier |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831771237 PECOS PAC ID: 9537509583 Enrollment ID: I20240424003721 |
| Provider Name | Elizabeth Hamburg Ford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538695986 PECOS PAC ID: 1951741834 Enrollment ID: I20240425000838 |
| Provider Name | Krystal Humphrey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861745341 PECOS PAC ID: 6103266085 Enrollment ID: I20240425000955 |
| Provider Name | Lori Gonzalez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912359456 PECOS PAC ID: 1850731753 Enrollment ID: I20240425001631 |
| Provider Name | Alivia Crowe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376291542 PECOS PAC ID: 4789024654 Enrollment ID: I20240425004222 |
| Provider Name | Jennifer M. Eklund |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013679125 PECOS PAC ID: 1557701372 Enrollment ID: I20240426002296 |
| Provider Name | Daniel Harold Wendler |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346606878 PECOS PAC ID: 0143660977 Enrollment ID: I20240426002828 |
| Provider Name | Asia Brianna Bennett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356035646 PECOS PAC ID: 3779923529 Enrollment ID: I20240426003406 |
| Provider Name | Hannah Springer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558860114 PECOS PAC ID: 1850731605 Enrollment ID: I20240426003429 |
| Provider Name | Michael Azarani |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972295202 PECOS PAC ID: 4183064876 Enrollment ID: I20240429001122 |
| Provider Name | Carly Blake Shannon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407001258 PECOS PAC ID: 7517307267 Enrollment ID: I20240429003402 |
| Provider Name | Darcia Clarice Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306288196 PECOS PAC ID: 5597178335 Enrollment ID: I20240430002773 |
| Provider Name | Kate Cotnam |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972189785 PECOS PAC ID: 8527408087 Enrollment ID: I20240501000203 |
| Provider Name | Laurie Gamble |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851030092 PECOS PAC ID: 6709226152 Enrollment ID: I20240501004127 |
| Provider Name | Ashley Monet Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154946382 PECOS PAC ID: 6507206851 Enrollment ID: I20240502004001 |
| Provider Name | Cordell Spears |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518692888 PECOS PAC ID: 4385084649 Enrollment ID: I20240502004169 |
| Provider Name | Ksenia Kopeikin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104058627 PECOS PAC ID: 2961842174 Enrollment ID: I20240503002271 |
| Provider Name | Bethany Jane Frye |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255963955 PECOS PAC ID: 6204277312 Enrollment ID: I20240507002702 |
| Provider Name | Brianna Palma Nicole Reineke |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083299739 PECOS PAC ID: 7416398540 Enrollment ID: I20240507003417 |
| Provider Name | Rikki Lynn Treesh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013376458 PECOS PAC ID: 2163863200 Enrollment ID: I20240507003750 |
| Provider Name | Mary Pearson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942731518 PECOS PAC ID: 0446691471 Enrollment ID: I20240508002646 |
| Provider Name | Kathleen Fahrner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477628287 PECOS PAC ID: 9931540804 Enrollment ID: I20240509000362 |
| Provider Name | Tiffany Marie Nicely-williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487220398 PECOS PAC ID: 6507207412 Enrollment ID: I20240509001907 |
| Provider Name | Alicia Solomon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497319958 PECOS PAC ID: 7810338548 Enrollment ID: I20240513003280 |
| Provider Name | Julie Wilding |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114662335 PECOS PAC ID: 9032550777 Enrollment ID: I20240513003557 |
| Provider Name | Kathryn Monsey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235671124 PECOS PAC ID: 7012358757 Enrollment ID: I20240513003657 |
| Provider Name | Aniela Therese Baczewski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689266272 PECOS PAC ID: 4587005186 Enrollment ID: I20240514002434 |
| Provider Name | Jamie L Diaz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831418532 PECOS PAC ID: 6204277684 Enrollment ID: I20240516001163 |
| Provider Name | Edwardo Salvador Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750846127 PECOS PAC ID: 4385085620 Enrollment ID: I20240516003700 |
| Provider Name | Patrick Sivils |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972369155 PECOS PAC ID: 0648612879 Enrollment ID: I20240520002927 |
| Provider Name | Jazmin Crookes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467929208 PECOS PAC ID: 4082056171 Enrollment ID: I20240521001564 |
| Provider Name | Whitney Calhoun Bridges |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306445325 PECOS PAC ID: 6406298595 Enrollment ID: I20240521001709 |
| Provider Name | Jarryn Robinson-ellis |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1710320882 PECOS PAC ID: 4880036904 Enrollment ID: I20240521002914 |
| Provider Name | Holland Walker Miller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326314287 PECOS PAC ID: 6204278617 Enrollment ID: I20240530000645 |
| Provider Name | Rachel Morgan Dunlay |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699328708 PECOS PAC ID: 9335681444 Enrollment ID: I20240604004045 |
| Provider Name | Amy Venn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912582511 PECOS PAC ID: 4880136944 Enrollment ID: I20240605001107 |
| Provider Name | Jacqueline House |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1760148084 PECOS PAC ID: 7911449939 Enrollment ID: I20240605004087 |
| Provider Name | Jason Andrew York |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649753633 PECOS PAC ID: 2668914565 Enrollment ID: I20240606003068 |
| Provider Name | Heather R Watkins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083127476 PECOS PAC ID: 0042753121 Enrollment ID: I20240617004001 |
| Provider Name | Kendall Dashun Tyus |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306569595 PECOS PAC ID: 5991249039 Enrollment ID: I20240701002334 |
| Provider Name | Dianne Rapsey-vanburen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962959866 PECOS PAC ID: 4082158902 Enrollment ID: I20240703000369 |
| Provider Name | Natalie Harvey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679981971 PECOS PAC ID: 1355886888 Enrollment ID: I20240709003084 |
| Provider Name | Danielle Rosales Odunusi |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679341721 PECOS PAC ID: 2062957467 Enrollment ID: I20240710001130 |
| Provider Name | Alexandria Williams-reich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104561760 PECOS PAC ID: 0547705832 Enrollment ID: I20240710004996 |
| Provider Name | Meghan Murchison |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659956779 PECOS PAC ID: 9436695186 Enrollment ID: I20240718002225 |
| Provider Name | Stuart Irvin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851148381 PECOS PAC ID: 4082150404 Enrollment ID: I20240722003508 |
| Provider Name | Markus Miller Provence |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952920100 PECOS PAC ID: 4587100714 Enrollment ID: I20240724003003 |
| Provider Name | Ivan Noe Torres |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043729007 PECOS PAC ID: 1658818414 Enrollment ID: I20240730002023 |
| Provider Name | Stacy Lapointe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629481338 PECOS PAC ID: 9032656665 Enrollment ID: I20240731004840 |
| Provider Name | Heather A Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356592455 PECOS PAC ID: 8729525142 Enrollment ID: I20240802003155 |
| Provider Name | Amber Christine Wrye |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104469824 PECOS PAC ID: 5890232904 Enrollment ID: I20240807002433 |
| Provider Name | Michael Tresca |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295579100 PECOS PAC ID: 5294273892 Enrollment ID: I20240814001532 |
| Provider Name | Sarah Chu |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841020245 PECOS PAC ID: 9436697646 Enrollment ID: I20240820000626 |
| Provider Name | Dulce Hernandez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1124747407 PECOS PAC ID: 0749728897 Enrollment ID: I20240820002646 |
| Provider Name | Maighdlin Talo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053776310 PECOS PAC ID: 5991117541 Enrollment ID: I20240826002850 |
| Provider Name | Alexa Shalom Garcia Vega |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891452967 PECOS PAC ID: 0143769646 Enrollment ID: I20240828003469 |
| Provider Name | Lindsey Stevens |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538498605 PECOS PAC ID: 1153861240 Enrollment ID: I20240904000460 |
| Provider Name | Kirstie Anne Carmichael |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437618113 PECOS PAC ID: 2769922897 Enrollment ID: I20240904002469 |
| Provider Name | Sarah Snyder |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326317330 PECOS PAC ID: 0840730438 Enrollment ID: I20240910002490 |
| Provider Name | Alexi D Hoefer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942976469 PECOS PAC ID: 6204282569 Enrollment ID: I20240916003368 |
| Provider Name | Danielle Marie Benoit |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538709746 PECOS PAC ID: 4486195351 Enrollment ID: I20240918003594 |
| Provider Name | Abigail Ruth Alford |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558073676 PECOS PAC ID: 1456892272 Enrollment ID: I20240920000559 |
| Provider Name | Jordan Elizabeth Small |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548905771 PECOS PAC ID: 0749721447 Enrollment ID: I20240921000433 |
| Provider Name | Silvestre Rubio |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770906588 PECOS PAC ID: 9335680032 Enrollment ID: I20240922000035 |
| Provider Name | Daniel Singelyn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043767197 PECOS PAC ID: 5890236509 Enrollment ID: I20240923000301 |
| Provider Name | Selena Tyler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477931210 PECOS PAC ID: 0941741573 Enrollment ID: I20240923001238 |
| Provider Name | Scott Aaron James |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255935953 PECOS PAC ID: 3274074810 Enrollment ID: I20240923001427 |
| Provider Name | Ariel K Peters-angelucci |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841910692 PECOS PAC ID: 8022559533 Enrollment ID: I20240924004721 |
| Provider Name | Alexa Rae Patrick |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578132072 PECOS PAC ID: 5395286801 Enrollment ID: I20240924004755 |
| Provider Name | Cody Chua |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528892924 PECOS PAC ID: 3678004819 Enrollment ID: I20240930001023 |
| Provider Name | Angela Van Dyke |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952810913 PECOS PAC ID: 9739610908 Enrollment ID: I20240930002510 |
| Provider Name | Geraldine Metogho |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629462049 PECOS PAC ID: 9931556370 Enrollment ID: I20240930003182 |
| Provider Name | Laura Forrester |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619613627 PECOS PAC ID: 4082145933 Enrollment ID: I20241002001265 |
| Provider Name | Nesi Lillard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760804850 PECOS PAC ID: 3173054095 Enrollment ID: I20241003000082 |
| Provider Name | Taylor Marie Carter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982254678 PECOS PAC ID: 1153852751 Enrollment ID: I20241007003800 |
| Provider Name | Yaschia Kinsey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730331075 PECOS PAC ID: 0143752352 Enrollment ID: I20241014000822 |
| Provider Name | Kaitlynn Griffin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629706189 PECOS PAC ID: 5395277537 Enrollment ID: I20241014001763 |
| Provider Name | Kyle Bastos |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013791441 PECOS PAC ID: 4385176403 Enrollment ID: I20241015000534 |
| Provider Name | Josue Arcibar |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265013015 PECOS PAC ID: 5799217642 Enrollment ID: I20241016002130 |
| Provider Name | Emily Ann Daniel |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1629702287 PECOS PAC ID: 9537691423 Enrollment ID: I20241016003914 |
| Provider Name | Cecilia Flores Ramos |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457660995 PECOS PAC ID: 5597297218 Enrollment ID: I20241018000408 |
| Provider Name | Alexis N Walker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033986989 PECOS PAC ID: 9537691068 Enrollment ID: I20241022001690 |
| Provider Name | Kathryn J Adams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568294247 PECOS PAC ID: 3678006624 Enrollment ID: I20241029002452 |
| Provider Name | Whitnee A Willrich |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154140804 PECOS PAC ID: 8527592849 Enrollment ID: I20241108003460 |
| Provider Name | Tamera Wright |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639916950 PECOS PAC ID: 0547794356 Enrollment ID: I20241114004681 |
| Provider Name | Ashley Lindstrom |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215661053 PECOS PAC ID: 8224562947 Enrollment ID: I20241117000111 |
| Provider Name | Gabriela Villa |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1538669072 PECOS PAC ID: 8426583659 Enrollment ID: I20241126000129 |
| Provider Name | Maya Ontiveros |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487477980 PECOS PAC ID: 5799210845 Enrollment ID: I20241126001358 |
| Provider Name | Ashley Konermann |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558190900 PECOS PAC ID: 4688109598 Enrollment ID: I20241129000364 |
Develop Common Ground, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5708 Penny Creek Dr, Austin, TX 78759 Phone: 512-231-1721 | |
Neurowellness Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1779 Wells Branch Pkwy, 110b, Austin, TX 78728 Phone: 512-810-8948 | |
Juno Counseling Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13625 Pond Springs Rd, Suite 104, Austin, TX 78729 Phone: 512-645-9388 | |
Compromiso Behavioral Health Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2028 E Ben White Blvd Ste 240-6024, Austin, TX 78741 Phone: 512-925-6024 | |
Emily Bent, Lpc, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 603 Arundel Rd, Austin, TX 78738 Phone: 919-949-5888 |