SOUTHEAST TEXAS COUNSELING & ASSESSMENT SERVICES, PLLC (NPI# 1093348443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093348443 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST TEXAS COUNSELING & ASSESSMENT SERVICES, PLLC |
| Practice Address |
2626 Calder St Ste 204 Beaumont TX 77702-1926 |
| Mailing Address |
11126 Gaulding Rd Beaumont TX 77705-9440 |
| Practice Telephone | 4095044596 |
| Mailing Telephone | 4095044596 |
| Mailing Fax Number | 4092206456 |
| Enumeration Date | 2020-02-13 |
| Last Update Date | 2020-06-29 |
| Authorized Official Name | SEAN A MARTIN (OWNER) |
| Authorized Official Telephone | 4095044596 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 409773501 | 05 |
| Street Address |
2626 CALDER ST STE 204 |
| City | BEAUMONT |
| State | TX |
| Zip Code | 77702-1926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649727652 | Sean Martin | Counselor | 2626 Calder St Ste 204, Beaumont, TX 77702-1926 | 2016-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346871134 | Anne Parker Chen | Psychologist | 2431 Liberty St., Beaumont, TX 77702 | 2020-01-30 |
| 1841715299 | Encounter Home Care, Inc. | Home Health | 990 I H 10 North, 225, Beaumont, TX 77702 | 2017-08-07 |
| 1962860023 | Jennifer Abney Bell | Nurse Practitioner | 3030 North St., Suite 510, Beaumont, TX 77702 | 2016-02-04 |
| 1720407687 | Jennifer Huff | Nurse Practitioner | 2980 Calder Ave, Beaumont, TX 77702 | 2014-04-08 |
| 1669894580 | Julie Christine Makdsi | Psychologist | 80 Interstate 10 N., Suite 205, Beaumont, TX 77702 | 2014-01-11 |
| 1437586682 | Lori Wenner | Registered Nurse | 2410 Harrison Street, Beaumont, TX 77702 | 2013-10-02 |
| 1548503311 | Robert J Grammatico | Emergency Medicine | 2830 Calder Ave., Beaumont, TX 77702 | 2013-03-30 |
| 1396084992 | Courtney Marie Guidry | Physician Assistant | 755 N 11th St Ste P5200, Beaumont, TX 77702 | 2013-02-04 |
| 1043524788 | Swarnalatha Devi Bathina | Dentist | 490 Ih-10, Suite 200, Beaumont, TX 77702 | 2010-08-05 |
| 1376798884 | Rehana Haq Javed | Pathology | Christus Hospital 2830 Calder St., Beaumont, TX 77702 | 2008-11-25 |
| Find all providers in zip 77702 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912516436 | Gregory Mark Adams | Counselor | 3739 N Major Dr, Beaumont, TX 77713-9514 | 2020-07-30 |
| 1467078543 | Danielle Leigh Smith | Counselor | 4810 Ward St, Beaumont, TX 77705-4421 | 2020-06-24 |
| 1801431895 | Michelle Isabel Ocegueda | Counselor | 36644 Bay Hill Dr, Beaumont, CA 92223-8021 | 2019-11-13 |
| 1023677978 | Cassie Michelle Campbell | Counselor | 1661 Milford Way, Beaumont, CA 92223-3237 | 2019-06-12 |
| 1225695190 | Tavia James | Counselor | 7980 Gladys Ave, Beaumont, TX 77706-3188 | 2019-05-25 |
| 1730745969 | Paola Correa | Counselor | 24700 Manzanita Park Rd, Beaumont, CA 92223 | 2019-05-13 |
| 1144791963 | Jeffery Ray Manzer | Counselor | 3350 Dowlen Rd Suite J, Beaumont, TX 77707 | 2018-12-06 |
| 1730661174 | Joseph Pryor Ingram | Counselor | 5450 Folsom Road #3, Beaumont, TX 77706 | 2018-09-02 |
| 1649727652 | Sean Martin | Counselor | 2626 Calder St Ste 204, Beaumont, TX 77702-1926 | 2016-09-07 |
| 1487108551 | Ebonee Munoz | Counselor | 5640 Kingswood Dr, Beaumont, TX 77708-4031 | 2016-08-06 |
| Find all providers in BEAUMONT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.