MR. WILLIAM JAMES ELDRIDGE JR. (NPI# 1194146100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194146100 |
| Entity Type | Individual |
| Full Name | MR. WILLIAM JAMES ELDRIDGE JR. |
| Practice Address |
6610 Palisades Dr Texarkana TX 75503-4972 |
| Practice Telephone | 9039084475 |
| Mailing Telephone | 9039084475 |
| Enumeration Date | 2013-12-17 |
| Last Update Date | 2013-12-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200111200A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235141680 | William D Eldridge | Social Worker | 216 Vaughan St, Portland, ME 04102-3204 | 2006-08-13 |
| Street Address |
6610 PALISADES DR |
| City | TEXARKANA |
| State | TX |
| Zip Code | 75503-4972 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770049397 | Jeffery Nash | Nurse Practitioner | #4 Valley View Circle, Texarkana, TX 75503 | 2019-02-19 |
| 1821583501 | Brandy D Acker | Psychologist | 3615 Richmond Rd, Texarkana, TX 75503 | 2018-06-26 |
| 1366935066 | Samantha Lee Harris | Nurse Practitioner | 4116 Mcknight Rd, Texarkana, TX 75503 | 2018-06-07 |
| 1811416910 | Heather Alison Gerber | Nurse Practitioner | 5903 Brenda Street, Texarkana, TX 75503 | 2017-09-11 |
| 1952838682 | John Kyle Abney | Counselor | 4134 Mcknight Rd, Texarkana, TX 75503 | 2017-05-12 |
| 1699151514 | Piney Woods Er IIi LLC | Clinic/Center | 4102 Gibson Lane, Texarkana, TX 75503 | 2015-08-03 |
| 1609282433 | Colby Rebecca Pair | Physician Assistant | 2604 St. Michael Dr., Suite 310, Texarkana, TX 75503 | 2014-07-01 |
| 1265842496 | Healthcare Express, LLP | Clinic/Center | 3513 Richmond Rd, Texarkana, TX 75503 | 2014-04-28 |
| 1134540628 | Eagle Dental Center of Texarkana Pllc | Dentist | 4009 Moores Ln, Texarkana, TX 75503 | 2013-12-30 |
| 1326481664 | Juancarlo S. Pascual | Family Medicine | 604 St. Michael Dr, Suite 340, Texarkana, TX 75503 | 2013-04-16 |
| Find all providers in zip 75503 | ||||
| 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 |
|---|---|---|---|---|
| 1598278384 | Tre Jones | Counselor | 1406 N Fm 2148, Texarkana, TX 75501-0351 | 2017-11-15 |
| 1841641800 | Brittany M Robinson | Counselor | 2435 College Dr, Texarkana, TX 75501-2788 | 2016-06-30 |
| 1649633652 | James Michael Hargrave Sr. | Counselor | 3608 Melody Ln, Texarkana, TX 75503-0884 | 2016-03-29 |
| 1427453992 | Brian Adams | Counselor | 4016 Buchanan Rd, Texarkana, TX 75501-7584 | 2014-10-27 |
| 1376959122 | Maria Sanson | Counselor | 4613 Parkway Dr Ste 6, Texarkana, AR 71854-1142 | 2014-07-01 |
| 1164867784 | Lisa Cunningham Love | Counselor | 4093 Summerhill Sq, Texarkana, TX 75503-2768 | 2013-05-09 |
| 1306177969 | Jenna Maedean Burns | Counselor | 25 Treebark Dr, Texarkana, AR 71854-9743 | 2010-01-21 |
| 1811130115 | Sandra Shoulders | Counselor | 1180 Old Redwater Rd, Texarkana, TX 75501-2253 | 2009-04-16 |
| 1992943286 | Betty J Feir Phd Lpc Group | Counselor | 5501 Medical Parkway Dr, Texarkana, TX 75503-4624 | 2009-01-26 |
| 1407000607 | Runnin Wj Therapeutic Center Inc | Counselor | 4802 S Kings Hwy, Texarkana, TX 75501-8664 | 2008-11-14 |
| Find all providers in TEXARKANA | ||||
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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.