CCPCS


Address: 305 Londonderry Dr Ste 7, Waco, TX 76712-7906
Phone: 2547767792

CCPCS (NPI# 1164756565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164756565
Entity Type Organization
Organization Name CCPCS
Practice Address 305 Londonderry Dr Ste 7
Waco
TX 76712-7906
Practice Telephone 2547767792
Practice Fax Number 2547760577
Mailing Telephone 2547767792
Mailing Fax Number 2547760577
Enumeration Date 2009-10-01
Last Update Date 2009-10-01
Authorized Official Name DR. TAMARA LYNN HODGES (PSYCHOLOGIST)
Authorized Official Telephone 2547767792
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health 2-5171 TX Agencies

Other Data Sources

Entity Type Entity Name Entity Address
Colorado Business Entities CCPCS LLC 5630 Flintridge Dr, Colorado Springs, CO 80918

Office Location

Street Address 305 LONDONDERRY DR STE 7
City WACO
State TX
Zip Code 76712-7906

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417083262 Ronald Walton Cole Counselor 305 Londonderry Dr Ste 7, Waco, TX 76712-7906 2007-02-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922634294 Waco Ophthalmology, Pllc Ophthalmology 602 W Highway 6, Waco, TX 76712 2020-03-19
1326692872 Oceans Behavioral Hospital of Waco LLC Psychiatric Hospital 5931 Crosslake Parkway, Waco, TX 76712 2019-08-01
1831759620 Jessica Ngoc Vien Optometrist 1000 Hwy 6, Ste 210, Waco, TX 76712 2019-06-14
1780150888 Chelsea Cannon Occupational Therapist 330 W State Hwy 6, Waco, TX 76712 2018-10-17
1669955399 Elizabeth Ann Barnhill Speech-Language Pathologist 15003 Riatta Rd, Woodway, TX 76712 2018-09-09
1447731617 Melanie A Melton Physical Therapist 300 West Highway 6, Waco, TX 76712 2018-08-27
1396226403 Gala Kaye Czajkoski Occupational Therapy Assistant 300 West Hightway 6, Waco, TX 76712 2018-08-27
1619457454 Monica Anderson Physical Therapy Assistant 300 W Hwy 6, Waco, TX 76712 2018-08-21
1295238368 Waco Sn Opco LLC Skilled Nursing Facility 7501 Bagby, Waco, TX 76712 2018-03-14
1558872952 C. Guy Fps, Pllc Otolaryngology 1129 Aberdeen Rd, Waco, TX 76712 2017-10-12
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013373059 The Manacle Foundation Inc Community/Behavioral Health 3201 Franklin Ave, Unit 8, Waco, TX 76710-7365 2016-01-06
1023499407 Cenikor Foundation Community/Behavioral Health 2601 Gholson Rd., Waco, TX 76704 2015-06-11
1699152330 Focus Behavioral Associates, LLC Community/Behavioral Health 3301 Robinson Dr, Waco, TX 76706-4401 2015-05-01
1427591320 Etsah Counseling Center, Pllc Community/Behavioral Health 200 W State Highway 6 Ste 217, Waco, TX 76712-3975 2016-11-24
1821476904 Waco Partnership for Psychological and Spritual Care Community/Behavioral Health 900 Austin Ave, Suite 803, Waco, TX 76701-1902 2015-05-11
1033517099 Heart of Texas Region Mental Health Mental Retardation Center Community/Behavioral Health 110 S 12th St, Waco, TX 76701-1810 2014-12-08
1043468010 Wellspring Family Counseling, Pllc Community/Behavioral Health 1227 N Valley Mills Dr, Suite 206, Waco, TX 76710-4427 2008-09-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1750982047 Edwards Housing LLC Community/Behavioral Health 3119 Teodoro Dr, Grand Prairie, TX 75052-8751 2020-11-04
1457951972 Allison Evans Counseling and Consulting, Pllc Community/Behavioral Health 1584 Seminole Dr, Forney, TX 75126-1450 2020-10-26
1881292738 Actus Behavioral Support LLC Community/Behavioral Health 6213 Smithwick Dr, Mckinney, TX 75070-3573 2020-10-13
1083211387 Crescent Behavioral Health, LLC Community/Behavioral Health 202 W Park Place Dr, Lancaster, TX 75134-3250 2020-10-08
1275130924 Inspired Action Counseling Community/Behavioral Health 14914 Rockledge Dr, Cypress, TX 77429-1874 2020-10-06
1811594450 Jessica Hooson, Lcsw, P.l.l.c. Community/Behavioral Health 516 E Slaughter Ln Apt 402, Austin, TX 78744-0052 2020-10-06
1376150839 Victoria Behavioral Services Clinic LLC Community/Behavioral Health 16205 Westheimer Rd Ste 100, Houston, TX 77082-1207 2020-09-29
1952918682 Blue Angels Therapeds, LLC Community/Behavioral Health 1400 Rivery Blvd Apt 4116, Georgetown, TX 78628-3041 2020-09-27
1659987071 Committed 2 Me Counseling Center, LLC Community/Behavioral Health 105 E. Blackbourn, Hawkins, TX 75765 2020-09-21
1205441383 Lei Behavioral Services, LLC Community/Behavioral Health 6201 Bonhomme Rd # She266n, Houston, TX 77036-4365 2020-09-15
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Competitor

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City WACO
Zip Code 76712

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Dataset Information

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.

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