The Adolescent Center And Mental Health Services, Pllc - Medicare Mental Health Clinic in Houston, TX

The Adolescent Center And Mental Health Services, Pllc is a medicare enrolled mental health clinic (Psychologist - Clinical) in Houston, Texas. The current practice location for The Adolescent Center And Mental Health Services, Pllc is 3730 Kirby Dr Ste 904, Houston, Texas. For appointments, you can reach them via phone at (832) 484-2635. The mailing address for The Adolescent Center And Mental Health Services, Pllc is 3730 Kirby Dr Ste 904, Houston, Texas and phone number is (832) 484-2635.

The Adolescent Center And Mental Health Services, Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1578953857. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (832) 484-2635.

Contact Information

The Adolescent Center And Mental Health Services, Pllc
3730 Kirby Dr Ste 904
Houston
TX 77098-3994
(832) 484-2635
(832) 202-2479

Map and Direction


Mental Health Clinic Profile

Full NameThe Adolescent Center And Mental Health Services, Pllc
SpecialityPsychologist
Location3730 Kirby Dr Ste 904, Houston, Texas
Authorized Official Name and PositionValerie Darice Jackson (CEO)
Authorized Official Contact8324842635
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
The Adolescent Center And Mental Health Services, Pllc
3730 Kirby Dr Ste 904
Houston
TX 77098-3994

Ph: (832) 484-2635
The Adolescent Center And Mental Health Services, Pllc
3730 Kirby Dr Ste 904
Houston
TX 77098-3994

Ph: (832) 484-2635

NPI Details:

NPI Number1578953857
Provider Enumeration Date01/26/2015
Last Update Date04/11/2018

Medicare PECOS Information:

Medicare PECOS PAC ID6204151913
Medicare Enrollment IDO20150220000558

Medical Identifiers

Medical identifiers for The Adolescent Center And Mental Health Services, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578953857NPI-NPPES
345752501MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YP2500XCounselor - Professional (* (Not Available))Secondary
103T00000XPsychologist (* (Not Available))Secondary
103TC0700XPsychologist - Clinical (* (Not Available))Primary
103TC1900XPsychologist - Counseling (* (Not Available))Secondary
103TC2200XPsychologist - Clinical Child & Adolescent (* (Not Available))Secondary
1041C0700XSocial Worker - Clinical (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. The Adolescent Center And Mental Health Services, Pllc acts as a billing entity for following providers:
Provider NameSamoan C Johnson
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1629229968
PECOS PAC ID: 8628130465
Enrollment ID: I20090126000164
Provider NamePaula Ann Moore Wilson
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1770734006
PECOS PAC ID: 0143407940
Enrollment ID: I20110603000270
Provider NameTioana M Maxwell
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1356574743
PECOS PAC ID: 3678616612
Enrollment ID: I20131230000910
Provider NameMyrei C Edwards
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1245642388
PECOS PAC ID: 8022333707
Enrollment ID: I20150223000343
Provider NameAkalita A Ross
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1114338670
PECOS PAC ID: 8628394590
Enrollment ID: I20150312000464
Provider NameKujachalia Knapper
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1265844674
PECOS PAC ID: 0446557888
Enrollment ID: I20160329002584
Provider NameJazmine A Nash
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1417476334
PECOS PAC ID: 4082980644
Enrollment ID: I20171026000109
Provider NameCaryn Datrice Darwin
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1356845978
PECOS PAC ID: 2062777246
Enrollment ID: I20180518000606
Provider NameChelsea N Mccann
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1851904213
PECOS PAC ID: 8224449210
Enrollment ID: I20201123003393

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

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

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

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