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36 E Twohig Ave Ste 600 San Angelo TX 76903-6433 | |
| (325) 944-2561 | |
| (325) 939-2019 |
| Full Name | |
|---|---|
| Speciality | Counselor |
| Location | 36 E Twohig Ave Ste 600, San Angelo, Texas |
| Authorized Official Name and Position | Dustin Scott Mccoy (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3259442561 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
36 E Twohig Ave Ste 600 San Angelo TX 76903-6433 Ph: (325) 944-2561 | 36 E Twohig Ave Ste 600 San Angelo TX 76903-6433 Ph: (325) 944-2561 |
| NPI Number | 1093868267 |
|---|---|
| Provider Enumeration Date | 01/19/2007 |
| Last Update Date | 06/12/2024 |
| Certification Date | 06/12/2024 |
| Medicare PECOS PAC ID | 3870576937 |
|---|---|
| Medicare Enrollment ID | O20040609001473 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093868267 | NPI | - | NPPES |
| 1570947-03 | Medicaid | TX |
| Provider Name | Nyssah D Perrine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114226289 PECOS PAC ID: 1052598141 Enrollment ID: I20110526000303 |
| Provider Name | Jan L Lentz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235151648 PECOS PAC ID: 4789963067 Enrollment ID: I20161108002571 |
| Provider Name | Karren Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689109712 PECOS PAC ID: 9638446941 Enrollment ID: I20170516002695 |
| Provider Name | Jenna Lee Bennett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043523343 PECOS PAC ID: 9335461094 Enrollment ID: I20170811002353 |
| Provider Name | D'nae N Gardner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750967808 PECOS PAC ID: 5890102602 Enrollment ID: I20210323001729 |
| Provider Name | Robert Turner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114350998 PECOS PAC ID: 7911399936 Enrollment ID: I20220124002111 |
| Provider Name | Kimberly Kay Hanusch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801540141 PECOS PAC ID: 7012383235 Enrollment ID: I20221013000181 |
| Provider Name | Ashley D Mccleaf |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073219390 PECOS PAC ID: 6103280102 Enrollment ID: I20230908002730 |
| Provider Name | Alyssa Rowe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467231746 PECOS PAC ID: 6709232473 Enrollment ID: I20231101001504 |
| Provider Name | Tamara J O'neal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871211094 PECOS PAC ID: 2365899887 Enrollment ID: I20231106001091 |
| Provider Name | Nicole E Elliott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912626052 PECOS PAC ID: 7012364102 Enrollment ID: I20231110002020 |
| Provider Name | Amber Hobdy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033845870 PECOS PAC ID: 5991163529 Enrollment ID: I20231112000058 |
| Provider Name | Lisa J Sobrero |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245496108 PECOS PAC ID: 4082063847 Enrollment ID: I20231206000890 |
| Provider Name | Terry L Favor |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275571663 PECOS PAC ID: 0840649406 Enrollment ID: I20231208000959 |
| Provider Name | Veronica Flores Cantu |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326691346 PECOS PAC ID: 6608108121 Enrollment ID: I20231211001116 |
| Provider Name | Melody Kathleen Twombly |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891466256 PECOS PAC ID: 5991154288 Enrollment ID: I20231212002569 |
| Provider Name | Alanna Knapp |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518562818 PECOS PAC ID: 4486003845 Enrollment ID: I20231212002838 |
| Provider Name | Joshua Rodgers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932848207 PECOS PAC ID: 3678921574 Enrollment ID: I20231213003430 |
| Provider Name | Rebecca Rey Zapata |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982064713 PECOS PAC ID: 4486003423 Enrollment ID: I20231215001057 |
| Provider Name | Ben G Hubert |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1679005540 PECOS PAC ID: 4981053964 Enrollment ID: I20231215002743 |
| Provider Name | Isela Gonzalez-rios |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699541102 PECOS PAC ID: 3870942733 Enrollment ID: I20231218002683 |
| Provider Name | Kavin Wood Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780738195 PECOS PAC ID: 7719337591 Enrollment ID: I20231219003304 |
| Provider Name | Dustin Scott Mccoy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801086541 PECOS PAC ID: 5890969935 Enrollment ID: I20231220004231 |
| Provider Name | Alejandra Garcia |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265064695 PECOS PAC ID: 9234589797 Enrollment ID: I20231222003239 |
| Provider Name | Daniel Antonio Perez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588237366 PECOS PAC ID: 4587014055 Enrollment ID: I20231223000451 |
| Provider Name | Makayla A Morris |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922733476 PECOS PAC ID: 3971950890 Enrollment ID: I20240103000498 |
| Provider Name | Anna Leslie Davis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447801915 PECOS PAC ID: 2860843802 Enrollment ID: I20240104000351 |
| Provider Name | Brooke Janell Sport |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548750995 PECOS PAC ID: 9638413305 Enrollment ID: I20240105000060 |
| Provider Name | Brent James Dooley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972871242 PECOS PAC ID: 8921459462 Enrollment ID: I20240109001493 |
| Provider Name | Stephanie Blancarte |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750053807 PECOS PAC ID: 1658722004 Enrollment ID: I20240110001151 |
| Provider Name | Billy Cleave Pool |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255847190 PECOS PAC ID: 4981056025 Enrollment ID: I20240115000390 |
| Provider Name | Ariadna Sonni-oquendo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477273498 PECOS PAC ID: 9234581547 Enrollment ID: I20240122003839 |
| Provider Name | Desirea L Stuart |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124704689 PECOS PAC ID: 1254789811 Enrollment ID: I20240216001234 |
| Provider Name | Melody Rhea Avants |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790952133 PECOS PAC ID: 2769826460 Enrollment ID: I20240221002940 |
| Provider Name | Amy Lin Pfluger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932891397 PECOS PAC ID: 0941645519 Enrollment ID: I20240305003069 |
| Provider Name | Steryl W Jones |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366148793 PECOS PAC ID: 3476994435 Enrollment ID: I20240508003894 |
| Provider Name | Tiffany Branam |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962135897 PECOS PAC ID: 9234512088 Enrollment ID: I20240606003759 |
| Provider Name | Milan Nicole Oliphant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598499105 PECOS PAC ID: 3173065794 Enrollment ID: I20240610003732 |
| Provider Name | Sandra Y Seca |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467167700 PECOS PAC ID: 8224571716 Enrollment ID: I20240625003116 |
| Provider Name | Cecilia Sophia Dominguez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790305779 PECOS PAC ID: 1557806437 Enrollment ID: I20240716001134 |
| Provider Name | Klaye R Coleman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114653920 PECOS PAC ID: 1951847151 Enrollment ID: I20240724001769 |
| Provider Name | Casey W Dilworth |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982313805 PECOS PAC ID: 9739626581 Enrollment ID: I20240730001611 |
| Provider Name | Adrianne Michele Albarado |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700073335 PECOS PAC ID: 9133654247 Enrollment ID: I20241126004054 |
Regional Employee Assistance Program Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2142 Sunset Dr, San Angelo, TX 76904 Phone: 325-245-4000 | |
Marie Martinez, Lpc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2615 Lakeside Ave, San Angelo, TX 76901 Phone: 325-812-5557 | |
Pat L Pastors Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3131 Executive Dr, San Angelo, TX 76904 Phone: 325-234-5164 Fax: 325-610-6122 | |
Transforming Lives Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3157 Executive Dr, San Angelo, TX 76904 Phone: 325-757-1275 | |
Rhonda Turpin, Lpc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2002 Colorado Ave, San Angelo, TX 76901 Phone: 661-524-5889 |