MISS RETA KATHLEEN ELROD (NPI# 1184706210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184706210 |
| Entity Type | Individual |
| Full Name | MISS RETA KATHLEEN ELROD |
| Credential | LPC |
| Practice Address |
1221 W Ben White Blvd Suite 108a Austin TX 78704-7192 |
| Mailing Address |
2901 Barton Skwy Apt 3312 Austin TX 78746-7562 |
| Practice Telephone | 5127797101 |
| Practice Fax Number | 5124940788 |
| Mailing Telephone | 5127797101 |
| Mailing Fax Number | 5124940788 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2010-02-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 62041 | TX | Behavioral Health & Social Service Providers |
| Street Address |
1221 W BEN WHITE BLVD SUITE 108A |
| City | AUSTIN |
| State | TX |
| Zip Code | 78704-7192 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669447397 | Ashwin Gowda | Internal Medicine | 1221 W Ben White Blvd, Suite A-100, Austin, TX 78704-7192 | 2006-02-17 |
| 1871132118 | Transitions Neuropsychology of Austin | Psychologist | 1221 W Ben White Blvd, Austin, TX 78704-7192 | 2020-01-03 |
| 1447716246 | Mallie Danielle Underwood | Social Worker | 1221 W Ben White Blvd, Ste 210a, Austin, TX 78704-7182 | 2019-02-17 |
| 1902317167 | Nicole Elizabeth Anderson | Nurse Practitioner | 1221 W Ben White Blvd, Austin, TX 78704-7192 | 2017-10-16 |
| 1508223637 | Vital Chiropractic & Wellness Pllc | Chiropractor | 1221 W Ben White Blvd, Ste. 111a, Austin, TX 78704-7192 | 2016-01-20 |
| 1053794750 | Riddhi Jariwala | Physical Therapist | 1221 W Ben White Blvd, 211a, Austin, TX 78704-7192 | 2015-06-30 |
| 1124421706 | Eva Shaw | Social Worker | 1221 W Ben White Blvd, Suite B100/b200, Austin, TX 78704-7192 | 2014-09-26 |
| 1497160071 | Lorena Ray | Dentist | 1221 W Ben White Blvd, Suite 112b, Austin, TX 78704-7192 | 2014-06-23 |
| 1225463458 | Matthew Gene Maa | Nurse Practitioner | 1221 W Ben White Blvd, Suite B300, Austin, TX 78704-7192 | 2013-09-06 |
| 1205132115 | Sharasa Matthews | Counselor | 1221 W Ben White Blvd, Austin, TX 78704-7192 | 2011-02-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494018 | 340b Partners Pharmacy - Dallas LLC | Pharmacy | 2800 S Ih 35 Frontage Rd, Suite 105, Austin, TX 78704 | 2020-10-12 |
| 1740802206 | Roots, Aba Therapy and Consulting Services LLC | Behavioral Analyst | 3715 S. 1st St, #464, Austin, TX 78704 | 2020-05-07 |
| 1447896071 | Stefanie Van Hoose Mott | Nurse Practitioner | 2800 South Ih 35 Frontage Road #100, Austin, TX 78704 | 2019-11-19 |
| 1902463219 | Melanie Rabalais Lpc, Pllc | Counselor | 3111 Dickson Dr, Suite 33, Austin, TX 78704 | 2019-05-22 |
| 1023590866 | Roberto Carlos Guerra | Physical Therapy Assistant | 2515 S Ih 35, Ste 320, Austin, TX 78704 | 2018-08-29 |
| 1750875118 | Kristen Gabrielle Ferrante | Dentist | 2330 S Lamar Blvd, Austin, TX 78704 | 2018-06-19 |
| 1366944555 | Beryl Hoelscher | Registered Nurse | 706 W Ben White Blvd Ste 233a, Austin, TX 78704 | 2018-03-02 |
| 1780103861 | Remedy Pediatrics Pllc | Pediatrics | 2512 South Interstate 35 Frontage Rd., Suite 310, Austin, TX 78704 | 2017-09-11 |
| 1285176172 | Leah Nichole Burandt | Physician Assistant | 2512 S Interstate 35 Ste 310, Austin, TX 78704 | 2016-11-09 |
| 1659822690 | Kristin Jarrett | Physical Therapist | 1524 S I-35, Suite 300, Austin, TX 78704 | 2016-10-14 |
| Find all providers in zip 78704 | ||||
| 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 |
|---|---|---|---|---|
| 1295345072 | Rebecca Summers | Counselor | 2208 E 14th St, Austin, TX 78702-1306 | 2020-08-05 |
| 1982221115 | Andrea Fackler | Counselor | 4425 S. Mopac Expressway, Building 3, Suite 503, Austin, TX 78735 | 2020-07-03 |
| 1609405307 | Tressie Dee Seegers | Counselor | 8700 Menchaca Rd Ste 202, Austin, TX 78748-5373 | 2020-04-04 |
| 1992339188 | Blake M Thompson | Counselor | 7004 Bee Caves Rd Ste 200, Austin, TX 78746-5004 | 2020-02-26 |
| 1558901850 | Jesse Bryan Snead | Counselor | 12124 Ranch Road 620 N, Austin, TX 78750-1079 | 2020-01-14 |
| 1285272765 | Lisa K Wheeler | Counselor | 2520 Longivew Street, Suite 313, Austin, TX 78705 | 2019-12-16 |
| 1013553411 | Carl Funk | Counselor | 600 W 28th St Ste 207, Austin, TX 78705-3798 | 2019-11-20 |
| 1265084289 | Austin Strong: Relationship Building Center | Counselor | 1714 Fortview Rd Ste 106a, Austin, TX 78704-7659 | 2019-07-10 |
| 1225690811 | April Mcanally | Counselor | 1010 Land Creek Cv Ste 150, Austin, TX 78746-7652 | 2019-07-03 |
| 1588225908 | Ensemble Therapy, Pllc | Counselor | 1213 W 49th St, Austin, TX 78756-3102 | 2019-06-26 |
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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.