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308 S Friendswood Dr Ste 200 Friendswood TX 77546-3989 | |
| (844) 824-8775 | |
| (281) 648-2200 |
| Full Name | |
|---|---|
| Speciality | Counselor |
| Location | 308 S Friendswood Dr Ste 200, Friendswood, Texas |
| Authorized Official Name and Position | Ryan Pardo (CHIEF LEGAL OFFICER) |
| Authorized Official Contact | 2063991493 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
308 S Friendswood Dr Ste 200 Friendswood TX 77546-3989 Ph: (844) 824-8775 | 308 S Friendswood Dr Ste 200 Friendswood TX 77546-3989 Ph: (844) 824-8775 |
| NPI Number | 1659567238 |
|---|---|
| Provider Enumeration Date | 09/18/2007 |
| Last Update Date | 04/25/2024 |
| Certification Date | 04/25/2024 |
| Medicare PECOS PAC ID | 4486794906 |
|---|---|
| Medicare Enrollment ID | O20091214000763 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659567238 | NPI | - | NPPES |
| 2114720-01 | Medicaid | TX |
| Provider Name | Stewart R Keller |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881647295 PECOS PAC ID: 2163490392 Enrollment ID: I20040924000095 |
| Provider Name | Shakil Ahmad Siddiqui |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376009126 PECOS PAC ID: 5799747796 Enrollment ID: I20041102000418 |
| Provider Name | Kevin Jay Schloneger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447325618 PECOS PAC ID: 2668430158 Enrollment ID: I20050103000016 |
| Provider Name | Mustafa Hussain |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013988542 PECOS PAC ID: 2961451653 Enrollment ID: I20050120000201 |
| Provider Name | John N Enriquez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548368384 PECOS PAC ID: 5092769489 Enrollment ID: I20050309000172 |
| Provider Name | James G Minto |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962586180 PECOS PAC ID: 9739134131 Enrollment ID: I20050318000306 |
| Provider Name | Dina M Kassler |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689745572 PECOS PAC ID: 0143247403 Enrollment ID: I20051026001166 |
| Provider Name | Tracie M Dejarnette Holly |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699786681 PECOS PAC ID: 5890790109 Enrollment ID: I20080227000401 |
| Provider Name | Harry D Livesay |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972724631 PECOS PAC ID: 3072689868 Enrollment ID: I20080902000184 |
| Provider Name | Aminur Rahman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124221965 PECOS PAC ID: 6204973787 Enrollment ID: I20091103000104 |
| Provider Name | Telecia Kaye Rittiman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194964486 PECOS PAC ID: 0648307546 Enrollment ID: I20100426000193 |
| Provider Name | Italo Augusto Samano |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770530974 PECOS PAC ID: 6507995610 Enrollment ID: I20100528000229 |
| Provider Name | Lynora J Metoyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740360213 PECOS PAC ID: 3971629247 Enrollment ID: I20100923000748 |
| Provider Name | Carol Kimble |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649584541 PECOS PAC ID: 8022134055 Enrollment ID: I20100928000771 |
| Provider Name | Mary J Glenney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316980832 PECOS PAC ID: 9234322280 Enrollment ID: I20101021001452 |
| Provider Name | Gloria Keraga |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053330225 PECOS PAC ID: 0345434445 Enrollment ID: I20101103000132 |
| Provider Name | John William Perry |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184635468 PECOS PAC ID: 8022299387 Enrollment ID: I20110221000630 |
| Provider Name | Teresa Lynn Hale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720380926 PECOS PAC ID: 8921281700 Enrollment ID: I20110401000120 |
| Provider Name | Kathy Van Stone |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467583419 PECOS PAC ID: 9436041498 Enrollment ID: I20110830000412 |
| Provider Name | Earl M Stenger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992806293 PECOS PAC ID: 9638349400 Enrollment ID: I20110906000043 |
| Provider Name | Eugene Kivett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780781013 PECOS PAC ID: 2466558879 Enrollment ID: I20111227000554 |
| Provider Name | Pamela K Mckown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417244369 PECOS PAC ID: 7214104777 Enrollment ID: I20120124000619 |
| Provider Name | Joann Gulley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568694917 PECOS PAC ID: 8628238052 Enrollment ID: I20120322000280 |
| Provider Name | Eric T Meehan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114073723 PECOS PAC ID: 0345406245 Enrollment ID: I20120720000553 |
| Provider Name | Edmund Cavazos |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568461986 PECOS PAC ID: 9638335276 Enrollment ID: I20120725000646 |
| Provider Name | Shamima S Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932302767 PECOS PAC ID: 8123284544 Enrollment ID: I20120730000166 |
| Provider Name | Daniel Lee Coulter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487850905 PECOS PAC ID: 8628226693 Enrollment ID: I20120917000413 |
| Provider Name | Marc W Kundler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265488928 PECOS PAC ID: 1456524743 Enrollment ID: I20130808000923 |
| Provider Name | Jonathan Norwood |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699016410 PECOS PAC ID: 3476796509 Enrollment ID: I20130821000392 |
| Provider Name | Ruth Honey Covin-weeks |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1013340546 PECOS PAC ID: 6103051263 Enrollment ID: I20131025000338 |
| Provider Name | Maria Socorro Pasco |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598854788 PECOS PAC ID: 2365677143 Enrollment ID: I20131102000064 |
| Provider Name | Bradley Deon Vessel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891884649 PECOS PAC ID: 2961402656 Enrollment ID: I20131115000794 |
| Provider Name | Barry Mills |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902918675 PECOS PAC ID: 7810958428 Enrollment ID: I20140318001384 |
| Provider Name | Linzi E Leighton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962747238 PECOS PAC ID: 0446476816 Enrollment ID: I20140721000250 |
| Provider Name | Barbara W Gamez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619290848 PECOS PAC ID: 9335360007 Enrollment ID: I20141021002849 |
| Provider Name | Alice W Noles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700282068 PECOS PAC ID: 0941523443 Enrollment ID: I20150107001874 |
| Provider Name | Sabrina Powell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801958855 PECOS PAC ID: 0042316002 Enrollment ID: I20150210001892 |
| Provider Name | Omar Farookh Pinjari |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427494871 PECOS PAC ID: 4183944929 Enrollment ID: I20150519002478 |
| Provider Name | Rebecca S Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295723211 PECOS PAC ID: 6305157793 Enrollment ID: I20150720002499 |
| Provider Name | David Anthony Rodriguez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407177124 PECOS PAC ID: 1052626967 Enrollment ID: I20150820010660 |
| Provider Name | Leslie Shepherd |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659330637 PECOS PAC ID: 8022115914 Enrollment ID: I20151203003311 |
| Provider Name | Lauren K Saliba |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124356001 PECOS PAC ID: 9739481441 Enrollment ID: I20160112000898 |
| Provider Name | Margaret M Betanco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336449297 PECOS PAC ID: 9638476450 Enrollment ID: I20160322002279 |
| Provider Name | Amanda Barrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346609583 PECOS PAC ID: 1254630130 Enrollment ID: I20160427001030 |
| Provider Name | Erika June Canales |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508226705 PECOS PAC ID: 2769777176 Enrollment ID: I20160824002325 |
| Provider Name | Monica Durham |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740666957 PECOS PAC ID: 1951689157 Enrollment ID: I20161021001964 |
| Provider Name | Adejumoke D Onadeko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598215535 PECOS PAC ID: 1254619265 Enrollment ID: I20161026001506 |
| Provider Name | Dorinda Lescault |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114299302 PECOS PAC ID: 5395025514 Enrollment ID: I20161206000249 |
| Provider Name | Tahirah Trinile Samuels |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629527619 PECOS PAC ID: 0244513620 Enrollment ID: I20170208003060 |
| Provider Name | Laura Madu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528337607 PECOS PAC ID: 2365726395 Enrollment ID: I20170310001393 |
| Provider Name | Izuchukwu Emejulu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750821104 PECOS PAC ID: 4880968478 Enrollment ID: I20170920002646 |
| Provider Name | Maher Chehab |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699294728 PECOS PAC ID: 6406113604 Enrollment ID: I20171127000304 |
| Provider Name | Donald D Caudle |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508172362 PECOS PAC ID: 5294093597 Enrollment ID: I20171214000707 |
| Provider Name | Cherylonda Ramzy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528568227 PECOS PAC ID: 6103180740 Enrollment ID: I20180507000678 |
| Provider Name | Marykutty Augustine Francis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538653944 PECOS PAC ID: 8426307877 Enrollment ID: I20180820000632 |
| Provider Name | Elisa Yvette Hilario |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881172898 PECOS PAC ID: 8527318617 Enrollment ID: I20180911003258 |
| Provider Name | Sheila M Sasieta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760741011 PECOS PAC ID: 5991011561 Enrollment ID: I20181017001998 |
| Provider Name | Vanessa Almodovar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255810487 PECOS PAC ID: 7719221829 Enrollment ID: I20181130000444 |
| Provider Name | Abiola Omo Oyemade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417454992 PECOS PAC ID: 6507102910 Enrollment ID: I20190107000563 |
| Provider Name | Lisa Michelle Lassen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003389099 PECOS PAC ID: 9739426628 Enrollment ID: I20190131000303 |
| Provider Name | Oluwadayo Busola Adeyemo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669961504 PECOS PAC ID: 0345588042 Enrollment ID: I20190205000267 |
| Provider Name | Ashly Nicole Huffstatler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710448154 PECOS PAC ID: 4880935006 Enrollment ID: I20190416000893 |
| Provider Name | Monica L Stout |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750891214 PECOS PAC ID: 8123386927 Enrollment ID: I20190426000998 |
| Provider Name | Zaw Win |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174516579 PECOS PAC ID: 4183683139 Enrollment ID: I20191004002273 |
| Provider Name | Wardell Brian Hollis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114440195 PECOS PAC ID: 8325379969 Enrollment ID: I20191011000690 |
| Provider Name | Mehreen Ghanchi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003463506 PECOS PAC ID: 7214269257 Enrollment ID: I20191024001807 |
| Provider Name | Kristin Brie Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639726367 PECOS PAC ID: 0446687420 Enrollment ID: I20200304001340 |
| Provider Name | Mary L Krolik |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295814366 PECOS PAC ID: 0345234316 Enrollment ID: I20200326003357 |
| Provider Name | Yolanda M Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093365439 PECOS PAC ID: 8628491636 Enrollment ID: I20200709002150 |
| Provider Name | Davidson Iheanyichukwu Ewuzie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508406018 PECOS PAC ID: 3779900899 Enrollment ID: I20200903000180 |
| Provider Name | Mary Halm |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801410659 PECOS PAC ID: 3173942901 Enrollment ID: I20200929001193 |
| Provider Name | Jacquelin Annette Joffray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154574879 PECOS PAC ID: 6608013818 Enrollment ID: I20201009002347 |
| Provider Name | Ethel Mae Richard-peterson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750648119 PECOS PAC ID: 4587084496 Enrollment ID: I20201014003478 |
| Provider Name | Darren Fred |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447609052 PECOS PAC ID: 0446545362 Enrollment ID: I20201027002103 |
| Provider Name | Elizabeth N Emebo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134741416 PECOS PAC ID: 0446660658 Enrollment ID: I20201029000312 |
| Provider Name | Nicole Powell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306455928 PECOS PAC ID: 8921412230 Enrollment ID: I20210128000352 |
| Provider Name | Melissa C Stephenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194282749 PECOS PAC ID: 7517371420 Enrollment ID: I20210203002063 |
| Provider Name | Michelle R Myers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336472943 PECOS PAC ID: 0143361394 Enrollment ID: I20210513000226 |
| Provider Name | Caroline Lam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205365269 PECOS PAC ID: 6305245150 Enrollment ID: I20210527000223 |
| Provider Name | Brandi Hrasdzira |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972195105 PECOS PAC ID: 1254572746 Enrollment ID: I20210611001424 |
| Provider Name | Tracee J Lucas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376114959 PECOS PAC ID: 4688077340 Enrollment ID: I20210720000177 |
| Provider Name | Hai Dinh Trinh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295336782 PECOS PAC ID: 3779987771 Enrollment ID: I20210813000175 |
| Provider Name | Sylvia A Otieno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043802952 PECOS PAC ID: 4082010012 Enrollment ID: I20210831000864 |
| Provider Name | Christine Luise Freeburg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558969485 PECOS PAC ID: 3476959362 Enrollment ID: I20210831003903 |
| Provider Name | Leann Vernice Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386311454 PECOS PAC ID: 5991194714 Enrollment ID: I20211117002201 |
| Provider Name | Nathan Gardner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053083865 PECOS PAC ID: 8022409697 Enrollment ID: I20211216000264 |
| Provider Name | Thomas Michael Hageman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780290106 PECOS PAC ID: 0941695571 Enrollment ID: I20220317002867 |
| Provider Name | Mary Temitope Ajayi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861971897 PECOS PAC ID: 2769879972 Enrollment ID: I20220418001484 |
| Provider Name | Mona Jimenez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043828544 PECOS PAC ID: 6709205214 Enrollment ID: I20220519000212 |
| Provider Name | Shaniqua Miles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710596804 PECOS PAC ID: 5092128389 Enrollment ID: I20220527000643 |
| Provider Name | Aju Varghese Alex |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215490693 PECOS PAC ID: 7012250871 Enrollment ID: I20220609000358 |
| Provider Name | Kyung Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053072355 PECOS PAC ID: 5597143040 Enrollment ID: I20220613000585 |
| Provider Name | Agnes Sarah Benjamin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659023737 PECOS PAC ID: 1557740693 Enrollment ID: I20220621002730 |
| Provider Name | Rahab Nyaruiru Mbugua |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285198911 PECOS PAC ID: 5395124994 Enrollment ID: I20220628000048 |
| Provider Name | Bilal Jilani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023508587 PECOS PAC ID: 4688920184 Enrollment ID: I20220628003621 |
| Provider Name | Luis Javier Valdez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780286260 PECOS PAC ID: 4183004732 Enrollment ID: I20220629001993 |
| Provider Name | Jaishree Raghavan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295489607 PECOS PAC ID: 7315327681 Enrollment ID: I20220704000317 |
| Provider Name | Sussana Etarock Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215516992 PECOS PAC ID: 1658751763 Enrollment ID: I20220707001423 |
| Provider Name | Kimberly Irene Vance |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013660802 PECOS PAC ID: 6103206180 Enrollment ID: I20220708000016 |
| Provider Name | Bejoy John |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619285442 PECOS PAC ID: 4587881313 Enrollment ID: I20220713000801 |
| Provider Name | Victoria Ochuwa Walter-etoh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376278762 PECOS PAC ID: 8426431693 Enrollment ID: I20220822000413 |
| Provider Name | Amanda-rose Sophia Deligiannis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710529813 PECOS PAC ID: 0941684880 Enrollment ID: I20220826001119 |
| Provider Name | Priscillia Omoleme |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043554991 PECOS PAC ID: 0648605816 Enrollment ID: I20220919001752 |
| Provider Name | Yi Zhang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831696863 PECOS PAC ID: 2961750575 Enrollment ID: I20220922002814 |
| Provider Name | Christi Michele Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194908970 PECOS PAC ID: 6709945652 Enrollment ID: I20221017001288 |
| Provider Name | Patricia Santillana Hutchinson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245961531 PECOS PAC ID: 9739555210 Enrollment ID: I20221025002215 |
| Provider Name | Nadine Efeti Ndip |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467175844 PECOS PAC ID: 5799152815 Enrollment ID: I20221102002875 |
| Provider Name | Bennett Ogochukwu Ndubisi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588385678 PECOS PAC ID: 0648648568 Enrollment ID: I20221128002080 |
| Provider Name | Carissa Toviessi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184190928 PECOS PAC ID: 0749659324 Enrollment ID: I20221205001417 |
| Provider Name | Amber Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144976192 PECOS PAC ID: 3375912686 Enrollment ID: I20221208001537 |
| Provider Name | Vicki Deumece Nunez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306375399 PECOS PAC ID: 9335518018 Enrollment ID: I20221220001744 |
| Provider Name | Angela Njideka Hicks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053022186 PECOS PAC ID: 2365812468 Enrollment ID: I20230106000718 |
| Provider Name | Meron Tibebu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073065215 PECOS PAC ID: 0042565756 Enrollment ID: I20230113000010 |
| Provider Name | Jennifer Rose Chamberlin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528770575 PECOS PAC ID: 3072984798 Enrollment ID: I20230117001562 |
| Provider Name | Lacey M Dembicki |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972240406 PECOS PAC ID: 0840661344 Enrollment ID: I20230119003095 |
| Provider Name | Karen J Contreras |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285358465 PECOS PAC ID: 0840662813 Enrollment ID: I20230221001885 |
| Provider Name | Geoffrey Clark Ryan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942711825 PECOS PAC ID: 8123491917 Enrollment ID: I20230225000127 |
| Provider Name | Emily Katherine Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639881485 PECOS PAC ID: 7113390683 Enrollment ID: I20230302003107 |
| Provider Name | Samantha Elizabeth Brown |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578803383 PECOS PAC ID: 8921473026 Enrollment ID: I20230403001477 |
| Provider Name | Danielle Elana Rott |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720281561 PECOS PAC ID: 3173998283 Enrollment ID: I20230403001696 |
| Provider Name | Karin Nelson Hunt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750425898 PECOS PAC ID: 7618065467 Enrollment ID: I20230411000909 |
| Provider Name | Geraldine Beard-chaney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649977463 PECOS PAC ID: 0042675142 Enrollment ID: I20230425000711 |
| Provider Name | Omolara Jowojori |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851015325 PECOS PAC ID: 2860857786 Enrollment ID: I20230428000905 |
| Provider Name | Layth Kawther Hakim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386783785 PECOS PAC ID: 9032243365 Enrollment ID: I20230504001033 |
| Provider Name | Sarah Ellen Erickson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538855689 PECOS PAC ID: 0446615967 Enrollment ID: I20230504002272 |
| Provider Name | Ernest Spiotto |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902331747 PECOS PAC ID: 2961772314 Enrollment ID: I20230504003220 |
| Provider Name | Heather Lynn Mendoza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073228508 PECOS PAC ID: 1153787346 Enrollment ID: I20230512001671 |
| Provider Name | Lucenda Laukisha Honore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063069045 PECOS PAC ID: 8022491232 Enrollment ID: I20230523000716 |
| Provider Name | Cindy Lee Cassell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548603699 PECOS PAC ID: 0244696847 Enrollment ID: I20230524002940 |
| Provider Name | Yvonne Ogheneruona Amune |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629797782 PECOS PAC ID: 1850756008 Enrollment ID: I20230525000864 |
| Provider Name | Michelle La Spata |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174109276 PECOS PAC ID: 2466810007 Enrollment ID: I20230614001531 |
| Provider Name | Mallori Weaver Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104589183 PECOS PAC ID: 5890153829 Enrollment ID: I20230622002136 |
| Provider Name | Abbey Catherine Shultz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205511623 PECOS PAC ID: 6507226743 Enrollment ID: I20230719001374 |
| Provider Name | Corey Spence |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295296812 PECOS PAC ID: 0648630822 Enrollment ID: I20230719003034 |
| Provider Name | Erin Campbell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427585231 PECOS PAC ID: 3375812563 Enrollment ID: I20230721000003 |
| Provider Name | Crystal Renee Montoya |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851075048 PECOS PAC ID: 1153781182 Enrollment ID: I20230721001222 |
| Provider Name | Jordan Taylor Dickens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831818822 PECOS PAC ID: 2466813480 Enrollment ID: I20230807001552 |
| Provider Name | Sabeen Faris |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952682650 PECOS PAC ID: 3678791407 Enrollment ID: I20230825000272 |
| Provider Name | Janelle Gillis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184106502 PECOS PAC ID: 3779940465 Enrollment ID: I20230913000023 |
| Provider Name | Danielle L Maskell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477242469 PECOS PAC ID: 3678937315 Enrollment ID: I20230913001810 |
| Provider Name | Chyecaria Evans |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396349239 PECOS PAC ID: 5799149373 Enrollment ID: I20230914003989 |
| Provider Name | Keiera Buckles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639952708 PECOS PAC ID: 2769846120 Enrollment ID: I20230919000110 |
| Provider Name | Carli Makenzie Mareth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629784285 PECOS PAC ID: 5193179224 Enrollment ID: I20230923000146 |
| Provider Name | Ian Woodwick |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114689767 PECOS PAC ID: 1850745720 Enrollment ID: I20230926002682 |
| Provider Name | Kami Garver |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588208490 PECOS PAC ID: 4688029002 Enrollment ID: I20231004003379 |
| Provider Name | Sandrine Motokwa Ntsang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023710704 PECOS PAC ID: 3678928934 Enrollment ID: I20231006002083 |
| Provider Name | Jordan Elizabeth Green |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538845755 PECOS PAC ID: 5991150906 Enrollment ID: I20231011002825 |
| Provider Name | Ashley M Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063194009 PECOS PAC ID: 1759737919 Enrollment ID: I20231024001779 |
| Provider Name | Christina Shephard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164110896 PECOS PAC ID: 1153777008 Enrollment ID: I20231027003216 |
| Provider Name | Christine Wielgos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114278157 PECOS PAC ID: 3375916596 Enrollment ID: I20231111000102 |
| Provider Name | Raven Lea Aleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578264479 PECOS PAC ID: 3375990336 Enrollment ID: I20231113002025 |
| Provider Name | Sarah Jewel Ratcliff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952903338 PECOS PAC ID: 5193173656 Enrollment ID: I20231122002215 |
| Provider Name | Omar A Ali |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699235952 PECOS PAC ID: 1658609615 Enrollment ID: I20231127000552 |
| Provider Name | Chizelle Onochie |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750841409 PECOS PAC ID: 1052647872 Enrollment ID: I20231202000445 |
| Provider Name | Kristi K Tanaka |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033350251 PECOS PAC ID: 9133578917 Enrollment ID: I20231206001596 |
| Provider Name | Billy Stone |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366479743 PECOS PAC ID: 3678922242 Enrollment ID: I20231207001881 |
| Provider Name | Tonika Ludell Laflora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114569167 PECOS PAC ID: 4284068917 Enrollment ID: I20231212000873 |
| Provider Name | Jerrie Muehr |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518017573 PECOS PAC ID: 5092164319 Enrollment ID: I20231212003669 |
| Provider Name | Jennifer De'shae Moore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922873926 PECOS PAC ID: 5294184412 Enrollment ID: I20231213003788 |
| Provider Name | Barbara Rea Stanley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881477107 PECOS PAC ID: 2769831619 Enrollment ID: I20231218001627 |
| Provider Name | Sarah Whitlock |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578884839 PECOS PAC ID: 5496104366 Enrollment ID: I20231218002794 |
| Provider Name | Savannah Howe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487254611 PECOS PAC ID: 1759731540 Enrollment ID: I20231219004088 |
| Provider Name | Jacqueline Marie Gutierrez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770217457 PECOS PAC ID: 8628428109 Enrollment ID: I20231225000086 |
| Provider Name | Andy James Overgard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457064651 PECOS PAC ID: 3779933056 Enrollment ID: I20231228002957 |
| Provider Name | Mary Njeri Nganga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528774031 PECOS PAC ID: 4082064373 Enrollment ID: I20231228003266 |
| Provider Name | Amy Donahue |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396235057 PECOS PAC ID: 2961853676 Enrollment ID: I20240108000436 |
| Provider Name | Lamonica S Armond |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104455518 PECOS PAC ID: 5890146286 Enrollment ID: I20240110002524 |
| Provider Name | Joy Alexandria Miller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871127795 PECOS PAC ID: 0547611733 Enrollment ID: I20240112000314 |
| Provider Name | Maricela Galindo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164715280 PECOS PAC ID: 0749632594 Enrollment ID: I20240117004432 |
| Provider Name | Asha Hussein |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164047098 PECOS PAC ID: 2567858616 Enrollment ID: I20240118001655 |
| Provider Name | Sierra M Thompson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578182663 PECOS PAC ID: 0840642427 Enrollment ID: I20240118004270 |
| Provider Name | William Alexander Gore |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1316690324 PECOS PAC ID: 2769834225 Enrollment ID: I20240119002730 |
| Provider Name | Krista Delaney Mckelvin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578636015 PECOS PAC ID: 6305298811 Enrollment ID: I20240120000311 |
| Provider Name | Rolla Merle Bradley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063765246 PECOS PAC ID: 5496107823 Enrollment ID: I20240122000787 |
| Provider Name | Alyssa Anne Stone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659761047 PECOS PAC ID: 0840525978 Enrollment ID: I20240124001338 |
| Provider Name | Vanessa Lorant |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639881063 PECOS PAC ID: 7517310618 Enrollment ID: I20240124004906 |
| Provider Name | Ronald Lamoine Lewis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275179152 PECOS PAC ID: 4688027394 Enrollment ID: I20240130000994 |
| Provider Name | Alicia Marie Madeksho |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679976773 PECOS PAC ID: 9830542240 Enrollment ID: I20240201000166 |
| Provider Name | Lorena M Mendoza-gibson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922127638 PECOS PAC ID: 3274986534 Enrollment ID: I20240202000952 |
| Provider Name | Antoine Gross |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053091041 PECOS PAC ID: 6709239064 Enrollment ID: I20240202001040 |
| Provider Name | Tyler Turner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336892942 PECOS PAC ID: 0042653073 Enrollment ID: I20240207000938 |
| Provider Name | Britanie Walker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871142539 PECOS PAC ID: 4688035827 Enrollment ID: I20240207001773 |
| Provider Name | William John Kao |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699238915 PECOS PAC ID: 2466895321 Enrollment ID: I20240207002511 |
| Provider Name | Katherine Bielik |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841600822 PECOS PAC ID: 8628420486 Enrollment ID: I20240207003511 |
| Provider Name | Susan Elaine Quintana |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740831841 PECOS PAC ID: 0840633483 Enrollment ID: I20240209003584 |
| Provider Name | Jason Eugene Duckworth |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1043677735 PECOS PAC ID: 9830532266 Enrollment ID: I20240213001045 |
| Provider Name | Jaron Paul Hataway |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003225889 PECOS PAC ID: 3779927041 Enrollment ID: I20240215000822 |
| Provider Name | Sylvia Trevino |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811448400 PECOS PAC ID: 8820432008 Enrollment ID: I20240215001674 |
| Provider Name | Tina Marie Berryman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396414470 PECOS PAC ID: 9830533710 Enrollment ID: I20240219003133 |
| Provider Name | Kyla Mione |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205608593 PECOS PAC ID: 7517301435 Enrollment ID: I20240220000791 |
| Provider Name | Kimberly Milliken |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831755719 PECOS PAC ID: 1850735663 Enrollment ID: I20240220004450 |
| Provider Name | Madiha Syed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437543907 PECOS PAC ID: 0143539981 Enrollment ID: I20240221000062 |
| Provider Name | Katodra Jackson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184844763 PECOS PAC ID: 4789028275 Enrollment ID: I20240223001497 |
| Provider Name | Nancy Jean Wischmeier |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396525614 PECOS PAC ID: 1557706934 Enrollment ID: I20240226000318 |
| Provider Name | Katherine Elizabeth Keeney |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144941014 PECOS PAC ID: 2062857543 Enrollment ID: I20240227000503 |
| Provider Name | Sandra Yvonne Alaniz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316378086 PECOS PAC ID: 4082064274 Enrollment ID: I20240227000877 |
| Provider Name | Alicia Renee Green - Scott |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275701096 PECOS PAC ID: 1557706777 Enrollment ID: I20240228000242 |
| Provider Name | Stephen Wade Baker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619412665 PECOS PAC ID: 9032554118 Enrollment ID: I20240228002755 |
| Provider Name | Parkashdeep Kaur Sandhu |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598047482 PECOS PAC ID: 0648615641 Enrollment ID: I20240229002357 |
| Provider Name | Joyce Marie Jeane-latiolais |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134361660 PECOS PAC ID: 7719322650 Enrollment ID: I20240229004043 |
| Provider Name | Tiffany Lynn Owen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649033663 PECOS PAC ID: 9335584283 Enrollment ID: I20240229004544 |
| Provider Name | Maryehdiah Giah |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790299758 PECOS PAC ID: 6002251758 Enrollment ID: I20240304002530 |
| Provider Name | Tiffany Latrice Morish |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588219133 PECOS PAC ID: 7315382009 Enrollment ID: I20240304003985 |
| Provider Name | Lynnie Elsie Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689617607 PECOS PAC ID: 7911342613 Enrollment ID: I20240305000319 |
| Provider Name | Ryan Leigh Pope |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982391561 PECOS PAC ID: 1557707163 Enrollment ID: I20240306000184 |
| Provider Name | Scheena Shirika Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467110486 PECOS PAC ID: 8325484785 Enrollment ID: I20240308000358 |
| Provider Name | John Martin Hurst |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932287190 PECOS PAC ID: 0042656092 Enrollment ID: I20240312003797 |
| Provider Name | David A. Schroll |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801072327 PECOS PAC ID: 4587966536 Enrollment ID: I20240313000775 |
| Provider Name | Mary Ruth Roberts |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205820115 PECOS PAC ID: 7810333713 Enrollment ID: I20240314000791 |
| Provider Name | Regina Irmanese Myers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104138700 PECOS PAC ID: 4183060999 Enrollment ID: I20240314001661 |
| Provider Name | Angie Kay Dewaard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164763413 PECOS PAC ID: 3072959824 Enrollment ID: I20240314003052 |
| Provider Name | Madeline Flores |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770287187 PECOS PAC ID: 7719323427 Enrollment ID: I20240315001143 |
| Provider Name | Lakeesha Joyce Carroll |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215668777 PECOS PAC ID: 1951747682 Enrollment ID: I20240315002126 |
| Provider Name | Alexandria Victoria Williams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396328886 PECOS PAC ID: 9931546421 Enrollment ID: I20240320000109 |
| Provider Name | Ashley Hale Duff |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407596471 PECOS PAC ID: 0042657546 Enrollment ID: I20240320000444 |
| Provider Name | Kaley Anne Greear Goncalves |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437911567 PECOS PAC ID: 0244677532 Enrollment ID: I20240321004085 |
| Provider Name | Kimberly Terece Richter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548590078 PECOS PAC ID: 5092152306 Enrollment ID: I20240322000482 |
| Provider Name | Victor Taylor |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891229597 PECOS PAC ID: 0345687349 Enrollment ID: I20240326003975 |
| Provider Name | Brittney Portnoy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740866649 PECOS PAC ID: 5193162998 Enrollment ID: I20240327004029 |
| Provider Name | Danielle Marie Mings-mcdaniel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447979992 PECOS PAC ID: 7416395827 Enrollment ID: I20240404001821 |
| Provider Name | Courtney Tate |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770643306 PECOS PAC ID: 8325486533 Enrollment ID: I20240408001650 |
| Provider Name | Maegan C Mcneese |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326801069 PECOS PAC ID: 7517305667 Enrollment ID: I20240409001291 |
| Provider Name | Taylor Kleshick |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932748142 PECOS PAC ID: 3274971353 Enrollment ID: I20240409002258 |
| Provider Name | Rachel Elizabeth Yarborough |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114565132 PECOS PAC ID: 6608214614 Enrollment ID: I20240409003507 |
| Provider Name | Jennifer Marie Hernandez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053195081 PECOS PAC ID: 8820436827 Enrollment ID: I20240410001695 |
| Provider Name | Kaitlyn Marisa Virola |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023711157 PECOS PAC ID: 1254779101 Enrollment ID: I20240410003888 |
| Provider Name | Amelia Grace Turvey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285327304 PECOS PAC ID: 7214375104 Enrollment ID: I20240411000999 |
| Provider Name | Sumandra Dasgupta |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144826850 PECOS PAC ID: 4486093390 Enrollment ID: I20240411002329 |
| Provider Name | Sheila Gwin-johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679270987 PECOS PAC ID: 0446699268 Enrollment ID: I20240412002409 |
| Provider Name | Ryan L Crawford |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841444809 PECOS PAC ID: 1456790948 Enrollment ID: I20240417000267 |
| Provider Name | Ugonma Eunice Anyanya |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598479867 PECOS PAC ID: 2668811092 Enrollment ID: I20240418002333 |
| Provider Name | Hector Alvarez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205233830 PECOS PAC ID: 8123467297 Enrollment ID: I20240423000111 |
| Provider Name | Lavonna Delicia Connell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356741490 PECOS PAC ID: 8224477302 Enrollment ID: I20240423000561 |
| Provider Name | Vipan Kumar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114347234 PECOS PAC ID: 7214223619 Enrollment ID: I20240424000885 |
| Provider Name | Ashley Diann Fox |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255064382 PECOS PAC ID: 9335589209 Enrollment ID: I20240425004179 |
| Provider Name | Christopher John Bruck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184338261 PECOS PAC ID: 6406296375 Enrollment ID: I20240426000010 |
| Provider Name | Steven Dorsey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124417340 PECOS PAC ID: 6204276587 Enrollment ID: I20240503000731 |
| Provider Name | Julieta Acuna |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528753324 PECOS PAC ID: 9739520859 Enrollment ID: I20240507002810 |
| Provider Name | Felicitas Chioma Okwara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730783762 PECOS PAC ID: 2567803604 Enrollment ID: I20240507003673 |
| Provider Name | Jane R King |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033690656 PECOS PAC ID: 1658712658 Enrollment ID: I20240508001770 |
| Provider Name | Tammy Michelle Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942957352 PECOS PAC ID: 1557702321 Enrollment ID: I20240510000518 |
| Provider Name | Tara Sharnice Martin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871244939 PECOS PAC ID: 1557702289 Enrollment ID: I20240513003261 |
| Provider Name | Elaine Love Brandon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467571034 PECOS PAC ID: 8022459692 Enrollment ID: I20240514001559 |
| Provider Name | Whitney E Dominguez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1841846730 PECOS PAC ID: 4981045416 Enrollment ID: I20240514003946 |
| Provider Name | Vanessa K Brandt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912349945 PECOS PAC ID: 5890136329 Enrollment ID: I20240514003951 |
| Provider Name | James Rodney Furlin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619987633 PECOS PAC ID: 5698116143 Enrollment ID: I20240515000417 |
| Provider Name | Kathleen M Frank |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033549829 PECOS PAC ID: 0749621290 Enrollment ID: I20240515000518 |
| Provider Name | Cortney Ball |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235753500 PECOS PAC ID: 6103267661 Enrollment ID: I20240515000571 |
| Provider Name | Tarana T Colvin |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1477002186 PECOS PAC ID: 6800237389 Enrollment ID: I20240515001483 |
| Provider Name | Jessica Demby |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093291718 PECOS PAC ID: 4486095908 Enrollment ID: I20240515003026 |
| Provider Name | Clarissa M Bourgeois |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194354589 PECOS PAC ID: 7719328129 Enrollment ID: I20240516002366 |
| Provider Name | Mary L Carlson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679021166 PECOS PAC ID: 0749621969 Enrollment ID: I20240517003154 |
| Provider Name | Chelsea Denise Bates |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235815754 PECOS PAC ID: 3375985567 Enrollment ID: I20240520001605 |
| Provider Name | Jeannine Monique Gambles |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1700434909 PECOS PAC ID: 0345682514 Enrollment ID: I20240521000747 |
| Provider Name | Amy Lynn Higdon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023022837 PECOS PAC ID: 8022450154 Enrollment ID: I20240521003110 |
| Provider Name | Elicia Hilborn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760709091 PECOS PAC ID: 6901248053 Enrollment ID: I20240521004150 |
| Provider Name | Ariel Glaze |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912531880 PECOS PAC ID: 6800238957 Enrollment ID: I20240521004203 |
| Provider Name | Leslie Miranda Babalola |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578011672 PECOS PAC ID: 9830531904 Enrollment ID: I20240522000289 |
| Provider Name | Terri Denise Gossett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174838981 PECOS PAC ID: 1052753027 Enrollment ID: I20240522000572 |
| Provider Name | Veranda A Hillard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205258662 PECOS PAC ID: 3577905561 Enrollment ID: I20240522001604 |
| Provider Name | Tonya Lynnette Lott |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346817574 PECOS PAC ID: 7113369927 Enrollment ID: I20240524001612 |
| Provider Name | Heather Elizabeth Evans |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285109108 PECOS PAC ID: 8022463108 Enrollment ID: I20240531001116 |
| Provider Name | Gina Little |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588441935 PECOS PAC ID: 5890237143 Enrollment ID: I20240603001487 |
| Provider Name | Hannah Marina Masso |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497321582 PECOS PAC ID: 5193267391 Enrollment ID: I20240603003582 |
| Provider Name | Ian Keith Pagdilao |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306438114 PECOS PAC ID: 8921540097 Enrollment ID: I20240604002589 |
| Provider Name | Robert P. Mullen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619542107 PECOS PAC ID: 1052853140 Enrollment ID: I20240604003303 |
| Provider Name | Leatha Jo Nowlan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457024598 PECOS PAC ID: 5890237994 Enrollment ID: I20240604003651 |
| Provider Name | Alicia Pace |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427659101 PECOS PAC ID: 6901348010 Enrollment ID: I20240604003972 |
| Provider Name | Seema R Nair |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063859007 PECOS PAC ID: 8123560240 Enrollment ID: I20240604004203 |
| Provider Name | Latreece Renee Ross |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124635073 PECOS PAC ID: 5991247900 Enrollment ID: I20240605003745 |
| Provider Name | Michelle L. Rowan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235656885 PECOS PAC ID: 9234671249 Enrollment ID: I20240605003853 |
| Provider Name | Melissa Romell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649882747 PECOS PAC ID: 6507308517 Enrollment ID: I20240605003887 |
| Provider Name | Roxanne Roussett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063792059 PECOS PAC ID: 0547702417 Enrollment ID: I20240606001948 |
| Provider Name | Jane Massey Linck |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114142452 PECOS PAC ID: 7315489291 Enrollment ID: I20240606002569 |
| Provider Name | Melissa Short |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174232037 PECOS PAC ID: 9234671058 Enrollment ID: I20240607003348 |
| Provider Name | Kristy Kay Labardee |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1932393485 PECOS PAC ID: 9739621566 Enrollment ID: I20240610000006 |
| Provider Name | Claudia Walker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659763423 PECOS PAC ID: 2365984002 Enrollment ID: I20240610000338 |
| Provider Name | Michelle G Summers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093241531 PECOS PAC ID: 9739621491 Enrollment ID: I20240610001056 |
| Provider Name | Haley Holm |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801590781 PECOS PAC ID: 4284095472 Enrollment ID: I20240613000681 |
| Provider Name | Whitney Nicole Posey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306500319 PECOS PAC ID: 3870036841 Enrollment ID: I20240618003472 |
| Provider Name | Ashtyn Arabie Mouret |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891305983 PECOS PAC ID: 4789127788 Enrollment ID: I20240619000098 |
| Provider Name | Amy T Einspruch |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508000720 PECOS PAC ID: 6709329717 Enrollment ID: I20240619000372 |
| Provider Name | Rachel Sophia Leslie |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265989545 PECOS PAC ID: 5597208413 Enrollment ID: I20240620001755 |
| Provider Name | Shelby Rene Wright |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376295188 PECOS PAC ID: 3779026463 Enrollment ID: I20240622000379 |
| Provider Name | Sheaundra O'neil |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982146593 PECOS PAC ID: 4587107271 Enrollment ID: I20240622000398 |
| Provider Name | Brandi Herzog |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376052787 PECOS PAC ID: 0345783866 Enrollment ID: I20240625000704 |
| Provider Name | Donald Bradley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225729023 PECOS PAC ID: 6800339342 Enrollment ID: I20240625001462 |
| Provider Name | Faith Lafiaji |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639690340 PECOS PAC ID: 7012450570 Enrollment ID: I20240625002088 |
| Provider Name | Jessica Lewis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891362943 PECOS PAC ID: 3274077789 Enrollment ID: I20240625004091 |
| Provider Name | Leasha Crayton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932882776 PECOS PAC ID: 5193269637 Enrollment ID: I20240626000591 |
| Provider Name | Barbara Ritchie |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578806683 PECOS PAC ID: 0547704082 Enrollment ID: I20240626000602 |
| Provider Name | Christine Withrow |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790355303 PECOS PAC ID: 9234673054 Enrollment ID: I20240703000472 |
| Provider Name | Michelle L Cortez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255598082 PECOS PAC ID: 5092259887 Enrollment ID: I20240703003261 |
| Provider Name | Felisse Sigman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235397878 PECOS PAC ID: 1052855665 Enrollment ID: I20240705002875 |
| Provider Name | Ebony Morrow |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1780260935 PECOS PAC ID: 9032653647 Enrollment ID: I20240705002946 |
| Provider Name | Stephanie Lee Franklin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750633830 PECOS PAC ID: 3971048497 Enrollment ID: I20240709002762 |
| Provider Name | Stacy Lynn Tate |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174226229 PECOS PAC ID: 8820533367 Enrollment ID: I20240709003389 |
| Provider Name | Jing Shi |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740828193 PECOS PAC ID: 9537604905 Enrollment ID: I20240709004795 |
| Provider Name | Delarious Oneal Stewart |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982914628 PECOS PAC ID: 2062957434 Enrollment ID: I20240709004868 |
| Provider Name | Angelic Garcia Setchell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578064374 PECOS PAC ID: 6608311071 Enrollment ID: I20240709004884 |
| Provider Name | Stephanie K. Thomas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093990509 PECOS PAC ID: 5193260511 Enrollment ID: I20240710002032 |
| Provider Name | Lennie Wong |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194387837 PECOS PAC ID: 9638614068 Enrollment ID: I20240710002514 |
| Provider Name | Michelle Stephanie Petmi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336774801 PECOS PAC ID: 1456896711 Enrollment ID: I20240710004199 |
| Provider Name | Erin Michelle Perry |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467191593 PECOS PAC ID: 7810432101 Enrollment ID: I20240710004981 |
| Provider Name | Sharain M Stith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578013041 PECOS PAC ID: 5193260958 Enrollment ID: I20240716004543 |
| Provider Name | Jessica Villarreal |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1255967659 PECOS PAC ID: 6507301231 Enrollment ID: I20240717002387 |
| Provider Name | Jessica Villarreal |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255967659 PECOS PAC ID: 6507301231 Enrollment ID: I20240717003298 |
| Provider Name | Melinda Weber |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043641079 PECOS PAC ID: 6002352721 Enrollment ID: I20240718000942 |
| Provider Name | Marybeth Curoso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083486351 PECOS PAC ID: 8123464260 Enrollment ID: I20240722004043 |
| Provider Name | Alissa Lynn Carver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922371301 PECOS PAC ID: 9638615958 Enrollment ID: I20240723003450 |
| Provider Name | Kati Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487145009 PECOS PAC ID: 6002352168 Enrollment ID: I20240724004362 |
| Provider Name | Adrianna Maria Linares |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629720370 PECOS PAC ID: 5092251157 Enrollment ID: I20240724004418 |
| Provider Name | Emily Parsons |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629812730 PECOS PAC ID: 4688111404 Enrollment ID: I20240730000529 |
| Provider Name | Lavonya Marie Bennett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801469291 PECOS PAC ID: 8022555861 Enrollment ID: I20240730001045 |
| Provider Name | Julianne Mcclain |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710442108 PECOS PAC ID: 7810434503 Enrollment ID: I20240730003508 |
| Provider Name | Cassie S Mills |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609476498 PECOS PAC ID: 1557808227 Enrollment ID: I20240731002292 |
| Provider Name | Terrinice Hayes |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1396225645 PECOS PAC ID: 9234676685 Enrollment ID: I20240802000269 |
| Provider Name | Lex Reed |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1033708813 PECOS PAC ID: 6305383472 Enrollment ID: I20240807000784 |
| Provider Name | Andrew Duy Trinh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609499417 PECOS PAC ID: 2062836612 Enrollment ID: I20240814004341 |
| Provider Name | Danielle Peters |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184354433 PECOS PAC ID: 7719425289 Enrollment ID: I20240814004764 |
| Provider Name | Cheryl Andrea Scott |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972824415 PECOS PAC ID: 0244779247 Enrollment ID: I20240821005229 |
| Provider Name | Preety Khanna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487427209 PECOS PAC ID: 1153860069 Enrollment ID: I20240823000022 |
| Provider Name | Jessica Garcia |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659155182 PECOS PAC ID: 2769921618 Enrollment ID: I20240823001396 |
| Provider Name | Sophia Ellyn Savage |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518677376 PECOS PAC ID: 0840730230 Enrollment ID: I20240912000715 |
| Provider Name | Brian Counts |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790462885 PECOS PAC ID: 2567902893 Enrollment ID: I20240912002816 |
| Provider Name | Kaci Pullin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720811755 PECOS PAC ID: 0941740153 Enrollment ID: I20240913001517 |
| Provider Name | Robert Wayne Gaertner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285484139 PECOS PAC ID: 0345780581 Enrollment ID: I20240913002581 |
| Provider Name | Jordon-evander Williams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548938673 PECOS PAC ID: 7810438942 Enrollment ID: I20240917002048 |
| Provider Name | Nubia Janette Guzman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356971527 PECOS PAC ID: 1951842004 Enrollment ID: I20240917002789 |
| Provider Name | Christin Irene Martin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760049506 PECOS PAC ID: 2961943568 Enrollment ID: I20240923003872 |
| Provider Name | Corby Ryan Jackson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639530215 PECOS PAC ID: 5799136560 Enrollment ID: I20240924000224 |
| Provider Name | Tauriah Lynn Stubblefield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912731837 PECOS PAC ID: 1052852555 Enrollment ID: I20240924004173 |
| Provider Name | Elyse Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528719911 PECOS PAC ID: 8820529126 Enrollment ID: I20240926003747 |
| Provider Name | Khaya Sinar Hodges |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437500964 PECOS PAC ID: 9335670520 Enrollment ID: I20240927003174 |
| Provider Name | Zully Ivette Paulin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588262075 PECOS PAC ID: 9032640248 Enrollment ID: I20240930000257 |
| Provider Name | Anabela Dos Ramos |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598130734 PECOS PAC ID: 2466983622 Enrollment ID: I20240930002079 |
| Provider Name | Angella Namutebi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023856259 PECOS PAC ID: 1951832872 Enrollment ID: I20241002004083 |
| Provider Name | Amberlyn Keller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730719626 PECOS PAC ID: 9133650955 Enrollment ID: I20241003004199 |
| Provider Name | Janice Anne Moran |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588183966 PECOS PAC ID: 7618408378 Enrollment ID: I20241004001888 |
| Provider Name | Annette Marie Nieves Morales |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578394417 PECOS PAC ID: 7517499940 Enrollment ID: I20241010001085 |
| Provider Name | Clarissa Monique Chaisson-mcrae |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790946986 PECOS PAC ID: 9436307493 Enrollment ID: I20241010002648 |
| Provider Name | Carmen Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609426576 PECOS PAC ID: 6901338862 Enrollment ID: I20241016002517 |
| Provider Name | Ciji Adlin Rosa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801614052 PECOS PAC ID: 8123550811 Enrollment ID: I20241018003131 |
| Provider Name | Luz Restrepo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023410115 PECOS PAC ID: 7719203660 Enrollment ID: I20241022000027 |
| Provider Name | Kathy A Stan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639635691 PECOS PAC ID: 4981137304 Enrollment ID: I20241023004712 |
| Provider Name | Meredith Stacy Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780428342 PECOS PAC ID: 1850824285 Enrollment ID: I20241023004913 |
| Provider Name | Christine Johanna Taylor |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518289735 PECOS PAC ID: 7214460526 Enrollment ID: I20241024004258 |
| Provider Name | Daniel Austin Lairmore |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730969908 PECOS PAC ID: 3476086794 Enrollment ID: I20241024004358 |
| Provider Name | Hannah Njoki Gachihi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669188397 PECOS PAC ID: 3779016944 Enrollment ID: I20241025002389 |
| Provider Name | Kristine Ashley Naves-arellano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598596124 PECOS PAC ID: 5890228076 Enrollment ID: I20241025002778 |
| Provider Name | Kendra Elizabeth Hockaday |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992266381 PECOS PAC ID: 6709319981 Enrollment ID: I20241025002780 |
| Provider Name | Dolori Jean Troutt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346607405 PECOS PAC ID: 1456884501 Enrollment ID: I20241028001890 |
| Provider Name | John Moyanah |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124624069 PECOS PAC ID: 7517490683 Enrollment ID: I20241028002499 |
| Provider Name | James M Floyd |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730792953 PECOS PAC ID: 9537692629 Enrollment ID: I20241028003496 |
| Provider Name | Gabriella Zundt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568229045 PECOS PAC ID: 2466985569 Enrollment ID: I20241028003921 |
| Provider Name | Takisha A Howard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952884132 PECOS PAC ID: 2567995509 Enrollment ID: I20241029002013 |
| Provider Name | Denise Lopez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598492217 PECOS PAC ID: 1759814775 Enrollment ID: I20241030000558 |
| Provider Name | Rosemond Ijeoma Ijioma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285133157 PECOS PAC ID: 9032589445 Enrollment ID: I20241030003101 |
| Provider Name | Tara Eden Lemens |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831727072 PECOS PAC ID: 2163955048 Enrollment ID: I20241030003603 |
| Provider Name | Allison Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750166351 PECOS PAC ID: 3476086026 Enrollment ID: I20241104002978 |
| Provider Name | Stephen Elliott Samet |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134644701 PECOS PAC ID: 3678006244 Enrollment ID: I20241104003839 |
| Provider Name | Coral Fantasia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114663945 PECOS PAC ID: 6709319395 Enrollment ID: I20241105000416 |
| Provider Name | Claudia Barrows |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093410193 PECOS PAC ID: 6204360811 Enrollment ID: I20241105002040 |
| Provider Name | Christine Park |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790120053 PECOS PAC ID: 9830454982 Enrollment ID: I20241106004025 |
| Provider Name | Jane A Hedger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831603042 PECOS PAC ID: 5698209146 Enrollment ID: I20241106004059 |
| Provider Name | Chantelle Shaw |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447711585 PECOS PAC ID: 0547794810 Enrollment ID: I20241108000981 |
| Provider Name | Amber Nicole Jones |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851810071 PECOS PAC ID: 4385178474 Enrollment ID: I20241112002923 |
| Provider Name | Anitra Rochelle Brooks |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144896010 PECOS PAC ID: 0749714772 Enrollment ID: I20241113000839 |
| Provider Name | Ambeson Cornell Ambe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730879545 PECOS PAC ID: 0749724763 Enrollment ID: I20241113003688 |
| Provider Name | Cynthia Collins Jackson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285166066 PECOS PAC ID: 6608300413 Enrollment ID: I20241114004367 |
| Provider Name | Ruben Nolan Chavez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427200567 PECOS PAC ID: 3971037631 Enrollment ID: I20241118001507 |
| Provider Name | Allison Broyles |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588282016 PECOS PAC ID: 8628503331 Enrollment ID: I20241118003821 |
| Provider Name | Sara D Taylor |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720789175 PECOS PAC ID: 9830624543 Enrollment ID: I20241118004211 |
| Provider Name | Jacqueline Ravon Wesley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609417708 PECOS PAC ID: 9638604358 Enrollment ID: I20241118004343 |
| Provider Name | Mireya Tamez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063745784 PECOS PAC ID: 1759391618 Enrollment ID: I20241119002962 |
| Provider Name | Rebekah Mina Oakley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295086460 PECOS PAC ID: 0446785042 Enrollment ID: I20241119003626 |
| Provider Name | Angie J Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952519399 PECOS PAC ID: 6608301189 Enrollment ID: I20241120002504 |
| Provider Name | Nicole Jennifer Vazoulas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316547086 PECOS PAC ID: 7911432422 Enrollment ID: I20241120003952 |
| Provider Name | Achieng Carmouche |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932936572 PECOS PAC ID: 8325573876 Enrollment ID: I20241121001074 |
| Provider Name | Mark Morrow |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558922120 PECOS PAC ID: 8123553534 Enrollment ID: I20241121004087 |
| Provider Name | Pamela R Slater |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396905097 PECOS PAC ID: 6507391315 Enrollment ID: I20241202003765 |
| Provider Name | Allison Steinberg |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235730110 PECOS PAC ID: 0547796161 Enrollment ID: I20241205004311 |
| Provider Name | Christine Ostertag |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770986192 PECOS PAC ID: 0941736276 Enrollment ID: I20241210004622 |
Wendy Morua, Ph.d., Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1410 E Winding Way Dr Ste E, Friendswood, TX 77546 Phone: 281-993-8040 Fax: 281-816-5526 | |
Sara Walls Wellness Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 307 S Friendswood Dr Ste B3, Friendswood, TX 77546 Phone: 281-747-6034 | |
Dyana Robbins Professional Limited Liability Company Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1506 E Winding Way Dr Ste 521, Friendswood, TX 77546 Phone: 832-998-4679 | |
Auspice Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 307 S Friendswood Dr Ste E2, Friendswood, TX 77546 Phone: 832-855-0861 | |
Julie C Gibson Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 Shadwell Way Ste 107, Friendswood, TX 77546 Phone: 713-857-9875 | |
Family Psychiatry Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 341 E Parkwood Ave, Friendswood, TX 77546 Phone: 281-400-3301 Fax: 281-400-3307 | |
Bay Pointe Behavioral Health Service, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1560 W Bay Area Blvd, Suite 110, Friendswood, TX 77546 Phone: 281-480-2400 Fax: 281-480-2400 |