| The Harris Center For Mental Health And Idd | |
|
9401 Southwest Fwy Houston TX 77074 | |
| (713) 970-7000 | |
| (713) 970-7246 |
| Full Name | The Harris Center For Mental Health And Idd |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 9401 Southwest Fwy, Houston, Texas |
| Authorized Official Name and Position | Eva Honeycutt (DIRECTOR, REVENUE MANAGEMENT) |
| Authorized Official Contact | 7139707359 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Harris Center For Mental Health And Idd 9401 Southwest Fwy Houston TX 77074-1407 Ph: (713) 970-7000 | The Harris Center For Mental Health And Idd 9401 Southwest Fwy Houston TX 77074 Ph: (713) 970-7000 |
| NPI Number | 1346293156 |
|---|---|
| Provider Enumeration Date | 05/19/2006 |
| Last Update Date | 02/02/2024 |
| Certification Date | 02/02/2024 |
| Medicare PECOS PAC ID | 9739088790 |
|---|---|
| Medicare Enrollment ID | O20040108000251 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346293156 | NPI | - | NPPES |
| 113180702 | Medicaid | TX | |
| 029158501 | Medicaid | TX | |
| 091743701 | Medicaid | TX | |
| 113180703 | Medicaid | TX | |
| 113180705 | Medicaid | TX |
| Provider Name | Mary Lou Heater |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1073748745 PECOS PAC ID: 8325936065 Enrollment ID: I20040305000385 |
| Provider Name | Jose M Fernandez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437130788 PECOS PAC ID: 6608765052 Enrollment ID: I20040312001067 |
| Provider Name | Maria R Garza |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306852488 PECOS PAC ID: 0547150708 Enrollment ID: I20040319000465 |
| Provider Name | Vivi S Daniel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033120019 PECOS PAC ID: 8022004761 Enrollment ID: I20040420001614 |
| Provider Name | Sylvia I Muzquiz-drummond |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154430130 PECOS PAC ID: 1850380064 Enrollment ID: I20040511001260 |
| Provider Name | Roberto Flores |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154333037 PECOS PAC ID: 3072503630 Enrollment ID: I20040514001116 |
| Provider Name | Sheila Joyce Whiteside |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649380197 PECOS PAC ID: 7113900721 Enrollment ID: I20040612000205 |
| Provider Name | Anna Louise Viltz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164532610 PECOS PAC ID: 7416930003 Enrollment ID: I20040613000000 |
| Provider Name | Dominic Joseph |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073559159 PECOS PAC ID: 7416931233 Enrollment ID: I20040617000720 |
| Provider Name | Christopher R Johnson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851303416 PECOS PAC ID: 9133195035 Enrollment ID: I20040902000441 |
| Provider Name | Danae Georges |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881603108 PECOS PAC ID: 2860460896 Enrollment ID: I20040917001005 |
| Provider Name | Sowmini Nithianantham |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518071158 PECOS PAC ID: 8729038294 Enrollment ID: I20050124000542 |
| Provider Name | Jocelyn A. Andrews |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326081340 PECOS PAC ID: 5496705485 Enrollment ID: I20050128000045 |
| Provider Name | Randall C Black |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043322068 PECOS PAC ID: 9335191006 Enrollment ID: I20050210000946 |
| Provider Name | Kathleen Marie Gately |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053323766 PECOS PAC ID: 0446223119 Enrollment ID: I20050223000569 |
| Provider Name | Jack P Swanson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497865984 PECOS PAC ID: 5698707024 Enrollment ID: I20050907000540 |
| Provider Name | Vinay Kapoor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780665042 PECOS PAC ID: 3678598497 Enrollment ID: I20051011000775 |
| Provider Name | Faye E'layne Sadberry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255441895 PECOS PAC ID: 2163449679 Enrollment ID: I20051024001075 |
| Provider Name | Kristin N Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184714917 PECOS PAC ID: 9830132166 Enrollment ID: I20051209000514 |
| Provider Name | Nancy D Hanna |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417917741 PECOS PAC ID: 0042234585 Enrollment ID: I20060123000945 |
| Provider Name | Sunil Arun Athavale |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669530127 PECOS PAC ID: 1951394550 Enrollment ID: I20060316000617 |
| Provider Name | Chiyyarath V Sathees |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194733162 PECOS PAC ID: 7012927387 Enrollment ID: I20060501000721 |
| Provider Name | Denise A Fenwick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467488684 PECOS PAC ID: 6103836226 Enrollment ID: I20060503000368 |
| Provider Name | Claudine D Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376573675 PECOS PAC ID: 4789688441 Enrollment ID: I20060912000069 |
| Provider Name | Angelica Harrell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376656470 PECOS PAC ID: 5890796346 Enrollment ID: I20070125000289 |
| Provider Name | Dawn J Delasbour |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386737906 PECOS PAC ID: 1153420799 Enrollment ID: I20070622000512 |
| Provider Name | Natarajan Venkatayan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174604466 PECOS PAC ID: 0345254397 Enrollment ID: I20070731000124 |
| Provider Name | Malik Naz Kalimuddin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386787653 PECOS PAC ID: 1759472004 Enrollment ID: I20070801000362 |
| Provider Name | Cynthia W Santos |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205818309 PECOS PAC ID: 5092806026 Enrollment ID: I20070806000703 |
| Provider Name | Jennifer L Wren |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629027073 PECOS PAC ID: 3577656305 Enrollment ID: I20070910000567 |
| Provider Name | Nurun N Shah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740262336 PECOS PAC ID: 6800989682 Enrollment ID: I20070910000998 |
| Provider Name | Mark Pugh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093919672 PECOS PAC ID: 0244326981 Enrollment ID: I20071011000247 |
| Provider Name | Dan D Lewinbuk |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992800932 PECOS PAC ID: 1456449545 Enrollment ID: I20071127000412 |
| Provider Name | Mark A Williamson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760591028 PECOS PAC ID: 2961472444 Enrollment ID: I20071128000418 |
| Provider Name | Richard F Dole |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073703047 PECOS PAC ID: 0547359572 Enrollment ID: I20071128000796 |
| Provider Name | Sujath A Syed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720121452 PECOS PAC ID: 3072602630 Enrollment ID: I20071204000642 |
| Provider Name | Avrim Brett Fishkind |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093727943 PECOS PAC ID: 2466539804 Enrollment ID: I20080409000300 |
| Provider Name | Stephanie Mathijsen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518037423 PECOS PAC ID: 8729166558 Enrollment ID: I20080421000120 |
| Provider Name | Jeanette B Valdivieso |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023216793 PECOS PAC ID: 5597842542 Enrollment ID: I20080513000150 |
| Provider Name | Kevin J Simmons |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255479887 PECOS PAC ID: 0941374789 Enrollment ID: I20080728000806 |
| Provider Name | Mai P Nguyen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528192051 PECOS PAC ID: 2163597998 Enrollment ID: I20080813000699 |
| Provider Name | Katherine A Cowan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114908464 PECOS PAC ID: 7214005735 Enrollment ID: I20081009000720 |
| Provider Name | Frene De'shawn Lacour Chestnut |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316196884 PECOS PAC ID: 5991868952 Enrollment ID: I20090116000483 |
| Provider Name | Verna W Humphrey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407025190 PECOS PAC ID: 9234293176 Enrollment ID: I20090121000685 |
| Provider Name | Amber E Pastusek |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235320425 PECOS PAC ID: 2365507530 Enrollment ID: I20090223000445 |
| Provider Name | Brian C Reed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023198447 PECOS PAC ID: 0547310971 Enrollment ID: I20090605000434 |
| Provider Name | Nesreen S.a. Ibrahim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134384860 PECOS PAC ID: 5395801963 Enrollment ID: I20090909000789 |
| Provider Name | Edward Casanova |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134311715 PECOS PAC ID: 7517004872 Enrollment ID: I20091020000225 |
| Provider Name | Diana Villarreal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184734626 PECOS PAC ID: 4183762289 Enrollment ID: I20091110000615 |
| Provider Name | Felecia I Garner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922239961 PECOS PAC ID: 2264576842 Enrollment ID: I20100219000684 |
| Provider Name | Jennifer Louise Yen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003143736 PECOS PAC ID: 7618006354 Enrollment ID: I20100519000034 |
| Provider Name | Amber Burks |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720314859 PECOS PAC ID: 2264556562 Enrollment ID: I20100823001074 |
| Provider Name | Pradeep Kumar Roy |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1033226352 PECOS PAC ID: 3072637016 Enrollment ID: I20100827000907 |
| Provider Name | Rinita L Roberts |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225260193 PECOS PAC ID: 5395860555 Enrollment ID: I20100913000473 |
| Provider Name | Nishan D Adihetty |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316130065 PECOS PAC ID: 7810076882 Enrollment ID: I20101018000499 |
| Provider Name | David S Buck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528148954 PECOS PAC ID: 9537139936 Enrollment ID: I20101201000207 |
| Provider Name | Sara K Flores |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073768248 PECOS PAC ID: 5294911608 Enrollment ID: I20110519000725 |
| Provider Name | Jamal Rafique |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891794996 PECOS PAC ID: 0143406496 Enrollment ID: I20110520000501 |
| Provider Name | Paula Ann Moore Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770734006 PECOS PAC ID: 0143407940 Enrollment ID: I20110603000270 |
| Provider Name | Bich-may Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720248396 PECOS PAC ID: 1153592993 Enrollment ID: I20110927000554 |
| Provider Name | Stephen W Kitt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164720561 PECOS PAC ID: 1557532306 Enrollment ID: I20110927000648 |
| Provider Name | Su D Duong |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568474526 PECOS PAC ID: 6406027267 Enrollment ID: I20110927000873 |
| Provider Name | Madhuri V Kamble |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316056468 PECOS PAC ID: 6608048160 Enrollment ID: I20111006000166 |
| Provider Name | Vasanthi C Janarthanan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447262001 PECOS PAC ID: 6002088564 Enrollment ID: I20111006000219 |
| Provider Name | Michelle M Byron |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851302657 PECOS PAC ID: 8426223785 Enrollment ID: I20111214001006 |
| Provider Name | Inayath F Nayeemuddin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194839688 PECOS PAC ID: 5193983401 Enrollment ID: I20120215000897 |
| Provider Name | Chantee D Vavasseur |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780794222 PECOS PAC ID: 3779741673 Enrollment ID: I20120223000470 |
| Provider Name | Lydia Reich |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619087301 PECOS PAC ID: 0143489666 Enrollment ID: I20120301000880 |
| Provider Name | Seema Thacker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962512475 PECOS PAC ID: 9638338460 Enrollment ID: I20120313000938 |
| Provider Name | Saba Memon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609030881 PECOS PAC ID: 9739349630 Enrollment ID: I20120330000411 |
| Provider Name | Joye Dawn Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689848418 PECOS PAC ID: 7517066608 Enrollment ID: I20120524000655 |
| Provider Name | Camille Leugers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548359912 PECOS PAC ID: 1759366032 Enrollment ID: I20120531000202 |
| Provider Name | Sandhya Trivedi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942294137 PECOS PAC ID: 7214191584 Enrollment ID: I20120618000332 |
| Provider Name | David S Bobb |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558560755 PECOS PAC ID: 8820246283 Enrollment ID: I20120911000114 |
| Provider Name | Sadiat K Olatunbosun |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407017759 PECOS PAC ID: 5395994404 Enrollment ID: I20121005000043 |
| Provider Name | Min Zhong |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689857443 PECOS PAC ID: 8921286162 Enrollment ID: I20130312000487 |
| Provider Name | Dorothy K Massie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568628501 PECOS PAC ID: 9032354337 Enrollment ID: I20130314000035 |
| Provider Name | Jenee' G Stubbs |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205030020 PECOS PAC ID: 4385880764 Enrollment ID: I20130410000364 |
| Provider Name | Christian Ortiz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497031454 PECOS PAC ID: 8224271325 Enrollment ID: I20130821000091 |
| Provider Name | Latifat Amadin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336579556 PECOS PAC ID: 7719117167 Enrollment ID: I20140304000261 |
| Provider Name | Saji K Kannollil |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457591950 PECOS PAC ID: 3678796018 Enrollment ID: I20140603001875 |
| Provider Name | Raymond P. Domingo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386965010 PECOS PAC ID: 0547489528 Enrollment ID: I20140924001979 |
| Provider Name | Jayaselvi Thanaseelan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841426764 PECOS PAC ID: 9133340284 Enrollment ID: I20141015000638 |
| Provider Name | Reena Andrews |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558385674 PECOS PAC ID: 0244139665 Enrollment ID: I20141031001715 |
| Provider Name | Lovely Omoregbe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467875724 PECOS PAC ID: 9739310483 Enrollment ID: I20141104000118 |
| Provider Name | James S. Musick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679975593 PECOS PAC ID: 0244552289 Enrollment ID: I20141203000123 |
| Provider Name | Felicia A Humphery |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417143348 PECOS PAC ID: 0648596668 Enrollment ID: I20150310000083 |
| Provider Name | Salih Selek |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376933804 PECOS PAC ID: 7315264199 Enrollment ID: I20150317000835 |
| Provider Name | Valerie R Chapa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316338262 PECOS PAC ID: 9335466010 Enrollment ID: I20150317001191 |
| Provider Name | Sara J Ramirez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609205301 PECOS PAC ID: 1557598349 Enrollment ID: I20150407000483 |
| Provider Name | Joseph J Pennese |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477663334 PECOS PAC ID: 7517286107 Enrollment ID: I20150504000409 |
| Provider Name | Natalia Kazakevich |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447570999 PECOS PAC ID: 6608180542 Enrollment ID: I20150805008027 |
| Provider Name | Mary K Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982087581 PECOS PAC ID: 6901113901 Enrollment ID: I20150924000978 |
| Provider Name | Qingmin Ruan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548586308 PECOS PAC ID: 1456661842 Enrollment ID: I20151116001322 |
| Provider Name | Charles S De John |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831101344 PECOS PAC ID: 7012218480 Enrollment ID: I20151209002235 |
| Provider Name | Walfrido Sepulveda-torres |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649380213 PECOS PAC ID: 3577865146 Enrollment ID: I20160113002790 |
| Provider Name | Olufunke O Idonor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669850087 PECOS PAC ID: 5193022820 Enrollment ID: I20160324000477 |
| Provider Name | An H Dinh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831458462 PECOS PAC ID: 8325339690 Enrollment ID: I20160616000136 |
| Provider Name | Olubunmi Asana |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093153769 PECOS PAC ID: 6103117718 Enrollment ID: I20160628002649 |
| Provider Name | Harjot K Toolson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588070932 PECOS PAC ID: 2264729417 Enrollment ID: I20161003000919 |
| Provider Name | Kathy L. Kidd |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972849826 PECOS PAC ID: 4981984507 Enrollment ID: I20161216000852 |
| Provider Name | Emilie Attwell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003992348 PECOS PAC ID: 8426339706 Enrollment ID: I20161228000635 |
| Provider Name | Tawakalitu T Oyedemi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891230249 PECOS PAC ID: 1052692183 Enrollment ID: I20170104001830 |
| Provider Name | Trista Michell Huckleberry |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326342866 PECOS PAC ID: 1557535580 Enrollment ID: I20170301000840 |
| Provider Name | Carlos Edwin Barrera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336680446 PECOS PAC ID: 3779868427 Enrollment ID: I20170321001986 |
| Provider Name | Lauren S Douglas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700147923 PECOS PAC ID: 8921375106 Enrollment ID: I20170518000071 |
| Provider Name | Caitlin Kieltyka |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700229655 PECOS PAC ID: 8527358662 Enrollment ID: I20170906000186 |
| Provider Name | Elizabeth Ssemanda |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154769594 PECOS PAC ID: 9638489750 Enrollment ID: I20170916000612 |
| Provider Name | Christine Grace Charles |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275977985 PECOS PAC ID: 7810254232 Enrollment ID: I20171120001691 |
| Provider Name | Allison J Mcdade |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467863506 PECOS PAC ID: 2466719257 Enrollment ID: I20171204001328 |
| Provider Name | Weixin Lu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780962977 PECOS PAC ID: 4082920137 Enrollment ID: I20171213002466 |
| Provider Name | Noman Afzal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194968024 PECOS PAC ID: 3173757465 Enrollment ID: I20180615002011 |
| Provider Name | Christina S Williams |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396159679 PECOS PAC ID: 0648523282 Enrollment ID: I20181029000500 |
| Provider Name | Sidharta K Seth |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306280235 PECOS PAC ID: 8729384953 Enrollment ID: I20190109000924 |
| Provider Name | Yu L Quan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669730578 PECOS PAC ID: 5799021655 Enrollment ID: I20190114002159 |
| Provider Name | Blessing Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649770165 PECOS PAC ID: 6305184672 Enrollment ID: I20190212000861 |
| Provider Name | Whitney Ann Hosey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154895159 PECOS PAC ID: 0648518654 Enrollment ID: I20190218002358 |
| Provider Name | Elizabeth Uzoma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326542523 PECOS PAC ID: 2062745268 Enrollment ID: I20190603001566 |
| Provider Name | Sandy Yi-huarn Lee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659790780 PECOS PAC ID: 4284969130 Enrollment ID: I20190715001281 |
| Provider Name | Rejimol Abraham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487213997 PECOS PAC ID: 8527396332 Enrollment ID: I20190817000004 |
| Provider Name | Jessica N Greene |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346628484 PECOS PAC ID: 6305159252 Enrollment ID: I20190918000066 |
| Provider Name | Bhavna Kusum Kaushik |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619280955 PECOS PAC ID: 4183941131 Enrollment ID: I20191104001080 |
| Provider Name | Mithu Chaudhury |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245650266 PECOS PAC ID: 3870899248 Enrollment ID: I20191127001355 |
| Provider Name | Jaykumar Unni |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912353277 PECOS PAC ID: 3072940600 Enrollment ID: I20200220002489 |
| Provider Name | Ifeoma Cynthia Nwugbana |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760823009 PECOS PAC ID: 6608203542 Enrollment ID: I20200305001160 |
| Provider Name | Eunice Peterson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164547683 PECOS PAC ID: 8729253091 Enrollment ID: I20200319001664 |
| Provider Name | Cheryl Hodges |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649465139 PECOS PAC ID: 2769532365 Enrollment ID: I20200422000156 |
| Provider Name | Gregory J Larimer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831546191 PECOS PAC ID: 4385074731 Enrollment ID: I20200427000020 |
| Provider Name | Adam Goldberg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669826210 PECOS PAC ID: 6800227836 Enrollment ID: I20200507001479 |
| Provider Name | Stacen J Velvin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285124743 PECOS PAC ID: 8729335120 Enrollment ID: I20200601000022 |
| Provider Name | Eugenia Anyanwu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376939595 PECOS PAC ID: 6204250582 Enrollment ID: I20200720002039 |
| Provider Name | Brandon Pita Chu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255727632 PECOS PAC ID: 1456660281 Enrollment ID: I20200721001863 |
| Provider Name | Shaan Nikhil Sheth |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275996977 PECOS PAC ID: 5597180935 Enrollment ID: I20200803001399 |
| Provider Name | Bhavna R Lall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538336250 PECOS PAC ID: 3779755400 Enrollment ID: I20200902000022 |
| Provider Name | Fallon Danielle Fagan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811351919 PECOS PAC ID: 0941620017 Enrollment ID: I20201012002901 |
| Provider Name | Kife J Mcdowell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285260455 PECOS PAC ID: 3274953179 Enrollment ID: I20201014003115 |
| Provider Name | Christine R Kobes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558977405 PECOS PAC ID: 9133549793 Enrollment ID: I20201020002253 |
| Provider Name | Shetal Amin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982135067 PECOS PAC ID: 6406269901 Enrollment ID: I20201230000235 |
| Provider Name | Dulce Citlali Hernandez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114521010 PECOS PAC ID: 4486067691 Enrollment ID: I20210107001853 |
| Provider Name | Anna Teckela Marshall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760079917 PECOS PAC ID: 4082028626 Enrollment ID: I20210122001146 |
| Provider Name | Saima Alam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356696868 PECOS PAC ID: 8325452295 Enrollment ID: I20210204001819 |
| Provider Name | Andrea Addie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538797501 PECOS PAC ID: 3476969981 Enrollment ID: I20210309000167 |
| Provider Name | Kimberly Grayson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841725710 PECOS PAC ID: 5092121152 Enrollment ID: I20210316000128 |
| Provider Name | Susan E Joseph |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225424393 PECOS PAC ID: 5294031365 Enrollment ID: I20210322001710 |
| Provider Name | Rubi Guanlao Morgan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922693068 PECOS PAC ID: 6507273133 Enrollment ID: I20210329000285 |
| Provider Name | Lesly Thomas Varghese |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619187846 PECOS PAC ID: 3476621129 Enrollment ID: I20210329002522 |
| Provider Name | Mikeicia Dawnay Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184215212 PECOS PAC ID: 9133536477 Enrollment ID: I20210401001949 |
| Provider Name | Adebisi Okieimen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366060204 PECOS PAC ID: 6901205087 Enrollment ID: I20210521000513 |
| Provider Name | Christian Ayodele Olusoji |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740727254 PECOS PAC ID: 3173925658 Enrollment ID: I20210706002945 |
| Provider Name | Michele Johanna Siegele |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780079400 PECOS PAC ID: 6608279260 Enrollment ID: I20210720004183 |
| Provider Name | Asra Waliuddin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982138954 PECOS PAC ID: 3375946171 Enrollment ID: I20210730000057 |
| Provider Name | Cinthia Warren |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306416367 PECOS PAC ID: 6507261146 Enrollment ID: I20210820000328 |
| Provider Name | Luming Li |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013337823 PECOS PAC ID: 9931480951 Enrollment ID: I20210827001002 |
| Provider Name | Kelly Boothe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851904841 PECOS PAC ID: 0941607782 Enrollment ID: I20210922000534 |
| Provider Name | Jeffrey Abass |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851897730 PECOS PAC ID: 6901204460 Enrollment ID: I20211013002784 |
| Provider Name | Brent Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437661808 PECOS PAC ID: 2961761978 Enrollment ID: I20211018000657 |
| Provider Name | Tina Thomas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740716364 PECOS PAC ID: 3971991795 Enrollment ID: I20211028000597 |
| Provider Name | Cheryl A France |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134144215 PECOS PAC ID: 1557550175 Enrollment ID: I20211103001493 |
| Provider Name | Allison Claire Narta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104353853 PECOS PAC ID: 4880084219 Enrollment ID: I20211129002185 |
| Provider Name | Ruchir P Arvind |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740787670 PECOS PAC ID: 8123418431 Enrollment ID: I20211130003133 |
| Provider Name | Kyle James Bowers |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053818393 PECOS PAC ID: 9436540556 Enrollment ID: I20211229000322 |
| Provider Name | Lynn Stevens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225796964 PECOS PAC ID: 6901298066 Enrollment ID: I20220121001660 |
| Provider Name | Angela Cain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457935314 PECOS PAC ID: 2769875491 Enrollment ID: I20220201002911 |
| Provider Name | Shazar Hanif Khan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801552344 PECOS PAC ID: 5395139737 Enrollment ID: I20220228002135 |
| Provider Name | Gary T Stittgen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497395859 PECOS PAC ID: 5597159640 Enrollment ID: I20220307000824 |
| Provider Name | Relindis Ndofor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447871652 PECOS PAC ID: 8628486032 Enrollment ID: I20220312000139 |
| Provider Name | Augustina Ihuoma Iheanacho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114435401 PECOS PAC ID: 2668564295 Enrollment ID: I20220329002703 |
| Provider Name | Joana Paula Rebollo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578211637 PECOS PAC ID: 4284016882 Enrollment ID: I20220728002865 |
| Provider Name | Bobbette Flamer Trice |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881351260 PECOS PAC ID: 9739562463 Enrollment ID: I20220812003005 |
| Provider Name | Jacob Kannarkat |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255856456 PECOS PAC ID: 0749660363 Enrollment ID: I20220903000387 |
| Provider Name | Heather Leigh Barr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184364879 PECOS PAC ID: 8426433830 Enrollment ID: I20220921003212 |
| Provider Name | Judith Ngwe Ngante |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962085944 PECOS PAC ID: 4688050867 Enrollment ID: I20220927000475 |
| Provider Name | Sandra Denise Mireles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346989167 PECOS PAC ID: 2567848690 Enrollment ID: I20220927003061 |
| Provider Name | Hilda Velis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083347116 PECOS PAC ID: 9032585930 Enrollment ID: I20221018001577 |
| Provider Name | Stephanie L Beacham |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1083322903 PECOS PAC ID: 0547639197 Enrollment ID: I20221205000155 |
| Provider Name | Robert Manuel Polo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912404310 PECOS PAC ID: 3173993169 Enrollment ID: I20230109002231 |
| Provider Name | Miranda L Taing |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023571981 PECOS PAC ID: 2163893835 Enrollment ID: I20230118000231 |
| Provider Name | Maheshkumar Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093821241 PECOS PAC ID: 9931193356 Enrollment ID: I20230118000921 |
| Provider Name | Brittany E Norris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083355671 PECOS PAC ID: 7214308626 Enrollment ID: I20230123001855 |
| Provider Name | Ifeoma Ukamaka Omaliko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215669288 PECOS PAC ID: 5496126823 Enrollment ID: I20230124000061 |
| Provider Name | Jeffrey Mcbride |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083270474 PECOS PAC ID: 0749653483 Enrollment ID: I20230228003275 |
| Provider Name | Esther M Ting |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1861723439 PECOS PAC ID: 5395101554 Enrollment ID: I20230515002142 |
| Provider Name | Omar Mahmoud Aldabe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194436147 PECOS PAC ID: 7911364278 Enrollment ID: I20230601002442 |
| Provider Name | Le'chauncy Woodard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346320694 PECOS PAC ID: 1658731047 Enrollment ID: I20230717002920 |
| Provider Name | Sarah Thi Tran |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134783863 PECOS PAC ID: 1850746595 Enrollment ID: I20231016001774 |
| Provider Name | Jimmy Sebastian |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356027494 PECOS PAC ID: 4688029283 Enrollment ID: I20231017004092 |
| Provider Name | Hillary Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548721426 PECOS PAC ID: 4082061460 Enrollment ID: I20231107000155 |
| Provider Name | Kaci Elizabeth Bayley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578231684 PECOS PAC ID: 1153779400 Enrollment ID: I20231127001737 |
| Provider Name | Stacie Nicole Yates |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720761166 PECOS PAC ID: 5294184065 Enrollment ID: I20231206001220 |
| Provider Name | Matthew Taylor Forster |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194380626 PECOS PAC ID: 5890144521 Enrollment ID: I20231206004396 |
| Provider Name | Cindy Geraldine Martinez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194365791 PECOS PAC ID: 4981053576 Enrollment ID: I20231207002513 |
| Provider Name | Mia Cheyenne Lockhart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790382661 PECOS PAC ID: 4082063607 Enrollment ID: I20231207003858 |
| Provider Name | Heidy Moreira |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134783517 PECOS PAC ID: 8123477536 Enrollment ID: I20231211002750 |
| Provider Name | Lisa Jacquelyn Lievois |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760254197 PECOS PAC ID: 6406205723 Enrollment ID: I20231212003524 |
| Provider Name | Angela Allicia Woodard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578342820 PECOS PAC ID: 4082063136 Enrollment ID: I20231214000749 |
| Provider Name | Marissa L Glass |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992587380 PECOS PAC ID: 1052762556 Enrollment ID: I20240109003748 |
| Provider Name | Maddison Victoria Adimora |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194338251 PECOS PAC ID: 6103277470 Enrollment ID: I20240111000300 |
| Provider Name | Kyran Palace Walker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093399867 PECOS PAC ID: 8820449044 Enrollment ID: I20240111002757 |
| Provider Name | Ronda Junae Allison |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932791415 PECOS PAC ID: 7113379983 Enrollment ID: I20240117001869 |
| Provider Name | E'mari Darriez Anderson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255914503 PECOS PAC ID: 3375995111 Enrollment ID: I20240117004072 |
| Provider Name | Demetria Claudine Burnett |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1871375360 PECOS PAC ID: 0547612228 Enrollment ID: I20240118000728 |
| Provider Name | Gregory Vick Balint |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710687082 PECOS PAC ID: 7214389915 Enrollment ID: I20240118001279 |
| Provider Name | Christopher Raye Harper |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144655317 PECOS PAC ID: 7618329319 Enrollment ID: I20240118001516 |
| Provider Name | Gloria Denice Douglas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780058784 PECOS PAC ID: 7113379835 Enrollment ID: I20240118002117 |
| Provider Name | Raneisha Lajoy Frand |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629734546 PECOS PAC ID: 2567814122 Enrollment ID: I20240118003914 |
| Provider Name | Jessica Lynn Durham |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720728108 PECOS PAC ID: 8224480850 Enrollment ID: I20240119001286 |
| Provider Name | Nadine Georgette Grizzle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346549268 PECOS PAC ID: 8628420163 Enrollment ID: I20240119001873 |
| Provider Name | Ricardo Xavier Gutierrez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366195794 PECOS PAC ID: 3577915016 Enrollment ID: I20240119002066 |
| Provider Name | Tarrah Danielle Hubbell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700478005 PECOS PAC ID: 9032561592 Enrollment ID: I20240119002715 |
| Provider Name | Roberto Flores |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538408786 PECOS PAC ID: 1951753425 Enrollment ID: I20240119003211 |
| Provider Name | Nawshaba Zaman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689330748 PECOS PAC ID: 5294178182 Enrollment ID: I20240207003316 |
| Provider Name | Donna Mann Jares |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215455357 PECOS PAC ID: 1254774151 Enrollment ID: I20240207003856 |
| Provider Name | Asly Dayana Guevara |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932984077 PECOS PAC ID: 6103269014 Enrollment ID: I20240207004125 |
| Provider Name | Chevonne Ane Parris Adesanya |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497535835 PECOS PAC ID: 4082057872 Enrollment ID: I20240208002609 |
| Provider Name | Hiba Alkhadra |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982359097 PECOS PAC ID: 7113360660 Enrollment ID: I20240212002461 |
| Provider Name | Roman Austria Alvarez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265690572 PECOS PAC ID: 6204279672 Enrollment ID: I20240213002606 |
| Provider Name | Tracy Rene Beavers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306471503 PECOS PAC ID: 6800230947 Enrollment ID: I20240216003137 |
| Provider Name | Dawn Marie Barras |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487812004 PECOS PAC ID: 3173967189 Enrollment ID: I20240219000474 |
| Provider Name | Frank Chinenye Ogbonna |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790564151 PECOS PAC ID: 0749624526 Enrollment ID: I20240220003317 |
| Provider Name | Myriadam Valentino Medrano |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275214835 PECOS PAC ID: 0840634648 Enrollment ID: I20240220004107 |
| Provider Name | Shannon De Roque |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548543259 PECOS PAC ID: 5991149528 Enrollment ID: I20240221004514 |
| Provider Name | Jose Juan Garza |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679219562 PECOS PAC ID: 7012351653 Enrollment ID: I20240222000191 |
| Provider Name | Latoya Dee Ashley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235896291 PECOS PAC ID: 8628413820 Enrollment ID: I20240227004272 |
| Provider Name | Alma Castillo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881022572 PECOS PAC ID: 7911342126 Enrollment ID: I20240227004643 |
| Provider Name | Ayesha Kadri |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639618515 PECOS PAC ID: 8224473434 Enrollment ID: I20240228000120 |
| Provider Name | Brenda Lee Iracheta |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992587059 PECOS PAC ID: 9638514854 Enrollment ID: I20240228000264 |
| Provider Name | Carrisa Sade Bello |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134644610 PECOS PAC ID: 0143665372 Enrollment ID: I20240228000444 |
| Provider Name | Michael Ray Chase |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821107988 PECOS PAC ID: 3173968310 Enrollment ID: I20240228001049 |
| Provider Name | Sandra Aponte Salazar |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043999790 PECOS PAC ID: 6103261250 Enrollment ID: I20240228001717 |
| Provider Name | Bianca L Bonds |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972154763 PECOS PAC ID: 4880039965 Enrollment ID: I20240228002658 |
| Provider Name | Shannon Lenell Chenier |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487138301 PECOS PAC ID: 8729423819 Enrollment ID: I20240228002938 |
| Provider Name | Xavier Steele Bowman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275191918 PECOS PAC ID: 7517302607 Enrollment ID: I20240228003043 |
| Provider Name | Lilian Nnenna Anowey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043890098 PECOS PAC ID: 1355786450 Enrollment ID: I20240228003372 |
| Provider Name | Monique Little |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932976859 PECOS PAC ID: 8921443037 Enrollment ID: I20240228003692 |
| Provider Name | Raquel Jean Barrett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811698210 PECOS PAC ID: 5193160208 Enrollment ID: I20240228003738 |
| Provider Name | Michelle Patricia Durham |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073740056 PECOS PAC ID: 1850517178 Enrollment ID: I20240228003912 |
| Provider Name | Casey Elizabeth Chauvenet |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942089347 PECOS PAC ID: 5890130850 Enrollment ID: I20240229000956 |
| Provider Name | Macie Lea Babo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053083642 PECOS PAC ID: 2668817651 Enrollment ID: I20240229001862 |
| Provider Name | Roxana Mhc Somonte Lopez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255052908 PECOS PAC ID: 7618312612 Enrollment ID: I20240229002464 |
| Provider Name | Latesia Tanay Thibodeaux |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821401720 PECOS PAC ID: 8921443854 Enrollment ID: I20240229003884 |
| Provider Name | Kathryn Mitchell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609637156 PECOS PAC ID: 3375988223 Enrollment ID: I20240229004400 |
| Provider Name | Nkechinyere Violet Anyaso |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871128538 PECOS PAC ID: 7113362062 Enrollment ID: I20240229004686 |
| Provider Name | Anisleidys Rivero |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003449281 PECOS PAC ID: 8820433790 Enrollment ID: I20240301000461 |
| Provider Name | Anajery Valadez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710653472 PECOS PAC ID: 8123463007 Enrollment ID: I20240301000728 |
| Provider Name | Craig Stephens |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144667593 PECOS PAC ID: 9234574120 Enrollment ID: I20240301001454 |
| Provider Name | Edgar Tello |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922735463 PECOS PAC ID: 8820433741 Enrollment ID: I20240301002501 |
| Provider Name | Dianna Elizabeth Wheeler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952854259 PECOS PAC ID: 2466897384 Enrollment ID: I20240301002518 |
| Provider Name | Laura Stone |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902453947 PECOS PAC ID: 2365887288 Enrollment ID: I20240301002546 |
| Provider Name | Tan My Thuy Nguyen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235692062 PECOS PAC ID: 6800231663 Enrollment ID: I20240302000053 |
| Provider Name | Marlo Oliva Rangel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346895729 PECOS PAC ID: 8628413408 Enrollment ID: I20240303000114 |
| Provider Name | Tranae Devon Thomas-gaston |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174173454 PECOS PAC ID: 8527403302 Enrollment ID: I20240303000154 |
| Provider Name | Marla Wendy Wolsky Proctor |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003585407 PECOS PAC ID: 7618312414 Enrollment ID: I20240304000725 |
| Provider Name | Arezoo Daneshvar |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669870499 PECOS PAC ID: 3577908284 Enrollment ID: I20240304001288 |
| Provider Name | Carlos Alberto Salomon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710461561 PECOS PAC ID: 6204271919 Enrollment ID: I20240304001313 |
| Provider Name | Sarah Krennerich-harvey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770297764 PECOS PAC ID: 9830534544 Enrollment ID: I20240304001321 |
| Provider Name | Alana Stanley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881001303 PECOS PAC ID: 9133477110 Enrollment ID: I20240305001325 |
| Provider Name | Kimberly R Taylor |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831798776 PECOS PAC ID: 7810332442 Enrollment ID: I20240305001567 |
| Provider Name | Lashawn C. Tucker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174091276 PECOS PAC ID: 2860838455 Enrollment ID: I20240305004286 |
| Provider Name | Arndrill Clayton-smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215006903 PECOS PAC ID: 1658717194 Enrollment ID: I20240307000376 |
| Provider Name | Brittanie A Deblanc |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891435756 PECOS PAC ID: 0345686713 Enrollment ID: I20240307001486 |
| Provider Name | Nancy Elaine Carmicheal |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154998466 PECOS PAC ID: 0446696884 Enrollment ID: I20240307004324 |
| Provider Name | Ericka Celeste Goudeau |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457024838 PECOS PAC ID: 5496191777 Enrollment ID: I20240308001470 |
| Provider Name | Julia H Harnsberry Davis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972068088 PECOS PAC ID: 8123464419 Enrollment ID: I20240308002037 |
| Provider Name | Sherman Darnell Grandison |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114336906 PECOS PAC ID: 9436595766 Enrollment ID: I20240308003593 |
| Provider Name | Zachary Aaron Degner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093178436 PECOS PAC ID: 2860838117 Enrollment ID: I20240309000394 |
| Provider Name | Latonya Tiesha Alexander |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184234031 PECOS PAC ID: 0345686515 Enrollment ID: I20240311000470 |
| Provider Name | Aileen Anahi Renteria |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194297598 PECOS PAC ID: 9638515828 Enrollment ID: I20240311001173 |
| Provider Name | Constance Ann Jackson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942673413 PECOS PAC ID: 4981040193 Enrollment ID: I20240311002128 |
| Provider Name | Elizabeth Fisher |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285122077 PECOS PAC ID: 4789020868 Enrollment ID: I20240312000656 |
| Provider Name | Christopher John Hill |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902413289 PECOS PAC ID: 5294171302 Enrollment ID: I20240312001726 |
| Provider Name | Michelle A Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487164554 PECOS PAC ID: 8022454008 Enrollment ID: I20240313000418 |
| Provider Name | Tricia Renee Novotny |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497028518 PECOS PAC ID: 6800232885 Enrollment ID: I20240313000556 |
| Provider Name | Meredith Lee Jimenez Bowman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780253922 PECOS PAC ID: 7113363102 Enrollment ID: I20240313000677 |
| Provider Name | Doris A Perry |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750676474 PECOS PAC ID: 6406292416 Enrollment ID: I20240313001453 |
| Provider Name | Lisa Lewellen Segura |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689724338 PECOS PAC ID: 4486090305 Enrollment ID: I20240313002370 |
| Provider Name | Byanca Hernandez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316405541 PECOS PAC ID: 1153767082 Enrollment ID: I20240313002584 |
| Provider Name | Dora Yadira Ramirez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114516044 PECOS PAC ID: 2365888245 Enrollment ID: I20240314000081 |
| Provider Name | Lawrence Henry Traylor |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609986124 PECOS PAC ID: 9335141100 Enrollment ID: I20240314000418 |
| Provider Name | Esmeralda Romero |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811246713 PECOS PAC ID: 9537505425 Enrollment ID: I20240314000438 |
| Provider Name | Shane Terese Wade |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912556168 PECOS PAC ID: 5193161099 Enrollment ID: I20240314000781 |
| Provider Name | Ashlyn Jeanneth Murillo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568091767 PECOS PAC ID: 7416393228 Enrollment ID: I20240314001427 |
| Provider Name | Ashley Lauren Slisz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780150177 PECOS PAC ID: 5496191207 Enrollment ID: I20240314001546 |
| 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 | Nicholas James Shawver |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639561087 PECOS PAC ID: 3072959899 Enrollment ID: I20240314001816 |
| Provider Name | Benjamin Logan Miller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609337856 PECOS PAC ID: 2062858889 Enrollment ID: I20240314001835 |
| Provider Name | Larica Lynn Urbina |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811658115 PECOS PAC ID: 0143666974 Enrollment ID: I20240314002290 |
| Provider Name | Tameka Lavette Tate |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477916070 PECOS PAC ID: 5395181127 Enrollment ID: I20240314002417 |
| Provider Name | Margaret Dennis Shelton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861605925 PECOS PAC ID: 6103262944 Enrollment ID: I20240314002505 |
| Provider Name | Crystal Marie Nehs |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386219525 PECOS PAC ID: 3678919412 Enrollment ID: I20240314002780 |
| Provider Name | Kathleen Lynn Paul |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831422443 PECOS PAC ID: 8729424577 Enrollment ID: I20240314002949 |
| Provider Name | Carmen Pereira Deneen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851756571 PECOS PAC ID: 1456352541 Enrollment ID: I20240314003300 |
| Provider Name | Sonja Simpson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588101539 PECOS PAC ID: 4880030675 Enrollment ID: I20240315000113 |
| Provider Name | Renashia Chante Mullin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356817555 PECOS PAC ID: 6709222508 Enrollment ID: I20240315000485 |
| Provider Name | Alonda Rachelle Scott |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326403890 PECOS PAC ID: 7113363813 Enrollment ID: I20240315000960 |
| Provider Name | Matthew F Tritico |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083223234 PECOS PAC ID: 4880030592 Enrollment ID: I20240315001257 |
| Provider Name | James Martins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780923714 PECOS PAC ID: 9638515323 Enrollment ID: I20240318000113 |
| Provider Name | Olan Jamane Latin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396386652 PECOS PAC ID: 7315384948 Enrollment ID: I20240319001863 |
| Provider Name | Toshiba Bridgette Cagle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104484435 PECOS PAC ID: 3678910155 Enrollment ID: I20240319004020 |
| Provider Name | Delmy Lucia Ruiz-salgado |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578673117 PECOS PAC ID: 3577900778 Enrollment ID: I20240323000411 |
| Provider Name | Mecia Rene Hale |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568092492 PECOS PAC ID: 8325485451 Enrollment ID: I20240325001218 |
| Provider Name | Don Joseph Ross Macauley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720264302 PECOS PAC ID: 8729425863 Enrollment ID: I20240325001508 |
| Provider Name | Latrice Wynne |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851883797 PECOS PAC ID: 6507203643 Enrollment ID: I20240325001715 |
| Provider Name | Pitagoras Ali Miranda |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1346652047 PECOS PAC ID: 1254778301 Enrollment ID: I20240325002054 |
| Provider Name | Marilyn Morales Young |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861793507 PECOS PAC ID: 4587001524 Enrollment ID: I20240326001727 |
| Provider Name | Natalie Christine Welsch |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154819365 PECOS PAC ID: 4587002274 Enrollment ID: I20240401000681 |
| Provider Name | Ghytana Chenise Williams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245915875 PECOS PAC ID: 2264870872 Enrollment ID: I20240402001761 |
| Provider Name | Lauren Catherine Hermann |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639801905 PECOS PAC ID: 2860830494 Enrollment ID: I20240402002365 |
| Provider Name | Marjorie Dienne Elkins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871217687 PECOS PAC ID: 0749628378 Enrollment ID: I20240402002461 |
| Provider Name | Andrew Obiomachi Onwuegbu |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811597172 PECOS PAC ID: 6608214234 Enrollment ID: I20240402002676 |
| Provider Name | Natarsha Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003331463 PECOS PAC ID: 8325486954 Enrollment ID: I20240402002681 |
| Provider Name | Jasper Janae York |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558096289 PECOS PAC ID: 7719325190 Enrollment ID: I20240404000340 |
| Provider Name | Nicolette Belen Baade Rodriguez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790339265 PECOS PAC ID: 5193163525 Enrollment ID: I20240404002425 |
| Provider Name | Ercelia Estela Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093215261 PECOS PAC ID: 6103266176 Enrollment ID: I20240425000195 |
| Provider Name | Linda Pettis Ellis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275840803 PECOS PAC ID: 8729428602 Enrollment ID: I20240425001013 |
| Provider Name | Melissa P Fontenot |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417511163 PECOS PAC ID: 1759721616 Enrollment ID: I20240425003878 |
| Provider Name | Noel Gonzales Traya |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1720198245 PECOS PAC ID: 3173963808 Enrollment ID: I20240429002913 |
| Provider Name | Sommer Louise Greer |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1396110300 PECOS PAC ID: 5395185904 Enrollment ID: I20240430002297 |
| Provider Name | Crystal Jeannette Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639953359 PECOS PAC ID: 7416397955 Enrollment ID: I20240430003942 |
| Provider Name | Akeel Abdullah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619473832 PECOS PAC ID: 3779923263 Enrollment ID: I20240501001751 |
| Provider Name | Leonardo Gil |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952153694 PECOS PAC ID: 3870933971 Enrollment ID: I20240506001474 |
| Provider Name | Shanna Marie Swasey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851424329 PECOS PAC ID: 5395001655 Enrollment ID: I20240507003872 |
| Provider Name | Kaitlyn Stacey Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750962502 PECOS PAC ID: 1456792381 Enrollment ID: I20240509002511 |
| Provider Name | Milton Jerone Dunn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578333738 PECOS PAC ID: 4183065824 Enrollment ID: I20240513003798 |
| Provider Name | Alexis Marie Fitch |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265070973 PECOS PAC ID: 3375984933 Enrollment ID: I20240514000892 |
| Provider Name | Malihe Salari |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1538802970 PECOS PAC ID: 1153766043 Enrollment ID: I20240514004084 |
| Provider Name | Kristina Vaughan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841043858 PECOS PAC ID: 3870934276 Enrollment ID: I20240516001745 |
| Provider Name | Jonathan Serrano |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457816951 PECOS PAC ID: 7618410358 Enrollment ID: I20240621002577 |
| Provider Name | Lenay Patrice Watkins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144075342 PECOS PAC ID: 5991248528 Enrollment ID: I20240624001398 |
| Provider Name | Cindy Martha Zanutti Lazzari |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437712411 PECOS PAC ID: 2860936358 Enrollment ID: I20240625003497 |
| Provider Name | Lisa Senn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053545632 PECOS PAC ID: 4385188416 Enrollment ID: I20240701001842 |
| Provider Name | Gina Burnley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598226672 PECOS PAC ID: 7810432309 Enrollment ID: I20240709001428 |
| Provider Name | Meagann Nicole Gibson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407699895 PECOS PAC ID: 2264979012 Enrollment ID: I20240730001700 |
| Provider Name | Hunter Campbell Hinman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821618737 PECOS PAC ID: 3072053065 Enrollment ID: I20240905000076 |
| Provider Name | Sarah Helland |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447754858 PECOS PAC ID: 4284008277 Enrollment ID: I20240912000213 |
| Provider Name | Litha Antoinette Tucker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174248694 PECOS PAC ID: 7719428887 Enrollment ID: I20240917004053 |
| Provider Name | Johvanna Elise Adkins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982398327 PECOS PAC ID: 1759822356 Enrollment ID: I20240923004037 |
| Provider Name | Elizabeth Beaudoin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700510435 PECOS PAC ID: 0840731352 Enrollment ID: I20240924004734 |
| Provider Name | Misty Monique Hodge |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033825658 PECOS PAC ID: 8224569421 Enrollment ID: I20240929000058 |
| Provider Name | Deneisi Lorena Cueto |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083453823 PECOS PAC ID: 5991239253 Enrollment ID: I20241108000572 |
| Provider Name | Dellolander Macc Ellis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396529947 PECOS PAC ID: 6103350327 Enrollment ID: I20241111003735 |
| Provider Name | Emmanuel Robinson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245865393 PECOS PAC ID: 4385178300 Enrollment ID: I20241113004739 |
| Provider Name | Tamima Aman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275369431 PECOS PAC ID: 0941734669 Enrollment ID: I20241118000032 |
| Provider Name | Ta'dario Woods |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669937082 PECOS PAC ID: 0749715605 Enrollment ID: I20241202001310 |
| Provider Name | Ashley Sheffield |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750885653 PECOS PAC ID: 5698201614 Enrollment ID: I20241212004458 |
Parker Place Property Owners Association, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10914 Bridlepark Cir, Houston, TX 77016 Phone: 281-449-3233 | |
Healthy Therapeutic Solutions. Llc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8700 Commerce Park Dr Ste 219, Houston, TX 77036 Phone: 771-771-5151 Fax: 771-771-5156 | |
Pate Psychological Services Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7505 South Fwy, Ste F, Houston, TX 77021 Phone: 713-741-8516 Fax: 713-741-8517 | |
Center For Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 176 Uvalde, Houston, TX 77015 Phone: 713-455-7008 Fax: 713-455-4870 | |
West Belfort Family Practice Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8449 W Belfort, 220, Houston, TX 77071 Phone: 281-974-1723 | |
Harizon Healthcare Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7642 Crofton St, Houston, TX 77028 Phone: 832-318-3643 | |
Heartland Physicians Associates Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2222 Maroneal St, 1716, Houston, TX 77030 Phone: 304-346-1969 |