| Plumeria Counseling Center | |
|
2501 W William Cannon Dr Building 6, Suite A Austin TX 78745-5281 | |
| (512) 344-9181 | |
| Not Available |
| Full Name | Plumeria Counseling Center |
|---|---|
| Speciality | Counselor |
| Location | 2501 W William Cannon Dr, Austin, Texas |
| Authorized Official Name and Position | Alan A Vondrell (MANAGING DIRECTOR) |
| Authorized Official Contact | 5126275792 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Plumeria Counseling Center 2501 W William Cannon Dr Building 6, Suite A Austin TX 78745-5281 Ph: (512) 344-9181 | Plumeria Counseling Center 2501 W William Cannon Dr Building 6, Suite A Austin TX 78745-5281 Ph: (512) 344-9181 |
| NPI Number | 1184857393 |
|---|---|
| Provider Enumeration Date | 09/03/2009 |
| Last Update Date | 07/24/2016 |
| Medicare PECOS PAC ID | 1355600768 |
|---|---|
| Medicare Enrollment ID | O20180110002141 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184857393 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Kimberly Goeger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578677027 PECOS PAC ID: 8527018019 Enrollment ID: I20050122000063 |
| Provider Name | Laura Jo Acuna Zavalney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730374869 PECOS PAC ID: 1759449911 Enrollment ID: I20081017000153 |
| Provider Name | Shonali A Jacob |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679809693 PECOS PAC ID: 5294876744 Enrollment ID: I20100106000725 |
| Provider Name | Margaret Weisenberger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841727690 PECOS PAC ID: 2961762570 Enrollment ID: I20180130001692 |
| Provider Name | Richard S Wallace |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063656262 PECOS PAC ID: 2860578994 Enrollment ID: I20180725001479 |
| Provider Name | Maya Conlon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932644507 PECOS PAC ID: 1557781598 Enrollment ID: I20201013003386 |
| 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 | Matt Richard Dietrichson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346716081 PECOS PAC ID: 2163819376 Enrollment ID: I20220418001324 |
| Provider Name | Shenetra Morgan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619605508 PECOS PAC ID: 8224414651 Enrollment ID: I20221007001357 |
| Provider Name | Diana Zwang |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497480891 PECOS PAC ID: 7517336308 Enrollment ID: I20221219000764 |
| Provider Name | Alix Warner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821786575 PECOS PAC ID: 3375901697 Enrollment ID: I20230620000306 |
| Provider Name | Lara Mcfeely |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821449646 PECOS PAC ID: 9234581109 Enrollment ID: I20240116002807 |
| Provider Name | Benjamin Johnson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1720565005 PECOS PAC ID: 9436594421 Enrollment ID: I20240229002006 |
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