THERAPRACTIC MANAGEMENT SYSTEMS (NPI# 1144790130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144790130 |
| Entity Type | Organization |
| Organization Name | THERAPRACTIC MANAGEMENT SYSTEMS |
| Practice Address |
5147 69th St Ste D Lubbock TX 79424-1646 |
| Practice Telephone | 8067718808 |
| Practice Fax Number | 8067718809 |
| Mailing Telephone | 8067718808 |
| Mailing Fax Number | 8067718809 |
| Enumeration Date | 2018-12-03 |
| Last Update Date | 2020-10-06 |
| Authorized Official Name | PATRICK DAVID RANDOLPH (LICENSED PSYCHOLOGIST) |
| Authorized Official Telephone | 8067718808 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | THERAPRACTIC MANAGEMENT SYSTEMS INC. | 3305 81st St Ste F, Lubbock, TX 79423-2028 |
| Street Address |
5147 69TH ST STE D |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79424-1646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013060946 | Patrick David Randolph | Psychologist | 5147 69th St Ste D, Lubbock, TX 79424-1646 | 2007-01-22 |
| 1427510643 | Kathryn B Hom | Psychologist | 5147 69th St Ste D, Lubbock, TX 79424-1646 | 2019-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376158121 | West Texas H.a.n.d. Pllc | Surgery | 5613 114th St, Lubbock, TX 79424 | 2020-09-09 |
| 1811519044 | H-e-b, Lp | Clinical Medical Laboratory | 4405 114th Street, Lubbock, TX 79424 | 2020-05-11 |
| 1184245573 | Jim Lee Lowrance | Chiropractor | 5152 69th Suite 101, Suite 101 Box #2, Lubbock, TX 79424 | 2020-04-27 |
| 1134787377 | April Denise Gardea | Speech-Language Pathologist | 6502 Slide Road Suite 204, Lubbock, TX 79424 | 2019-06-03 |
| 1215590658 | April Dawn Fortner | Counselor | 7617 86th St., Lubbock, TX 79424 | 2019-04-22 |
| 1427514561 | Thornhill Healthcare II, Inc. | Pharmacy | 6823 82nd St, Suite 600, Lubbock, TX 79424 | 2019-02-13 |
| 1174001358 | Emily Cowell | Technician, Other | 6102 82nd St Ste 10, Lubbock, TX 79424 | 2018-07-31 |
| 1043718786 | Edward Murphy | Pharmacist | 8702 Toledo Ave, Lubbock, TX 79424 | 2018-01-29 |
| 1013434364 | Yung Ling Tsai | Specialist/Technologist | 4707 116th Street, Lubbock, TX 79424 | 2017-08-28 |
| 1285187237 | Wter Quaker, Lp | Clinic/Center | 10205 Quaker Ave, Lubbock, TX 79424 | 2016-07-26 |
| Find all providers in zip 79424 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093314858 | Madison Bishop | Counselor | 7526 103rd St, Lubbock, TX 79424-6699 | 2020-10-22 |
| 1356948574 | Patricia May Johnson | Counselor | 4601 20th St, Lubbock, TX 79407-2307 | 2020-10-01 |
| 1023627304 | Denovo Therapy LLC | Counselor | 2345 50th St Ste 501, Lubbock, TX 79412-2565 | 2020-07-23 |
| 1770115677 | Melinda S. Hutcherson | Counselor | 4304 94th St, Lubbock, TX 79423-3958 | 2020-02-07 |
| 1336619790 | Jeong Han Kim | Counselor | 3601 4th St Stop 6225, Lubbock, TX 79430-6225 | 2018-11-28 |
| 1427531052 | Catholic Charities | Counselor | 102 Avenue J, Lubbock, TX 79401-1438 | 2018-09-10 |
| 1407380587 | Karmen Adkins Neal | Counselor | 2574 74th Street, Suite 213, Lubbock, TX 79423 | 2017-04-17 |
| 1225560071 | Kellye Wilhite | Counselor | 410 Ironton Ave, Lubbock, TX 79416-4102 | 2017-03-31 |
| 1972043545 | Angela Lee | Counselor | 2781 81st St, Lubbock, TX 79423-2229 | 2017-03-02 |
| 1003285321 | Gabrielle K Keenum Ma Lpc PC | Counselor | 6309 Indiana Ave Ste D, Lubbock, TX 79413-5739 | 2015-09-16 |
| Find all providers in LUBBOCK | ||||
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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.