SOUTH TEXAS OCD (NPI# 1366960106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366960106 |
| Entity Type | Organization |
| Organization Name | SOUTH TEXAS OCD |
| Practice Address |
262 N. Union New Braunfels TX 78130 |
| Practice Telephone | 8305158480 |
| Practice Fax Number | 8773105968 |
| Mailing Telephone | 8305158480 |
| Mailing Fax Number | 8773105968 |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2017-08-31 |
| Authorized Official Name | JAY LLOYD JETER (OWNER/PROVIDER) |
| Authorized Official Telephone | 8305158480 |
| Authorized Official Credential | LPC-S |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
262 N. UNION |
| City | NEW BRAUNFELS |
| State | TX |
| Zip Code | 78130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841827102 | Madison Johnson | Licensed Vocational Nurse | 3127 Doulglas Fir Dr, New Braunfels, TX 78130 | 2020-03-26 |
| 1558997734 | Children's Dental Ranch of New Braunfels, Pllc | Dentist | 1187 West County Line Rd, Suite 11b, New Braunfels, TX 78130 | 2020-03-19 |
| 1114559432 | Guadalupe Regional Medical Group | Clinic/Center | 1761 S. State Hwy 46, Suite 104, New Braunfels, TX 78130 | 2020-02-05 |
| 1164052536 | Talia Louise Risinger | Specialist/Technologist | 2551 337-loop 337, New Braunfels, TX 78130 | 2020-01-24 |
| 1255971099 | Next Level Orthodontics, Pllc | Dentist | 2084 Central Plaza, Ste 102, New Braunfels, TX 78130 | 2020-01-09 |
| 1568008613 | Carol Abel | Chiropractor | 931 N Ih35 Business, Suite 200, New Braunfels, TX 78130 | 2019-11-25 |
| 1245872910 | Tyler Vassar | Behavior Technician | 475 Oxford Dr. Ste. 104, New Braunfels, TX 78130 | 2019-10-14 |
| 1528617735 | Alexis Ellis | Licensed Practical Nurse | 2619 Pahmeyer Rd, New Braunfels, TX 78130 | 2019-09-10 |
| 1144790718 | Jamie Lynn Taylor | Counselor | 1414 W. San Antonio St, New Braunfels, TX 78130 | 2018-11-27 |
| 1417422270 | Ace Dental09 Pllc | Dentist | 1671 N. Ih 35, Ste 300, New Braunfels, TX 78130 | 2018-10-09 |
| Find all providers in zip 78130 | ||||
| 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 |
|---|---|---|---|---|
| 1760014781 | Jennifer Parker | Counselor | 1207 Rivercrest Dr, New Braunfels, TX 78130-3435 | 2020-02-07 |
| 1457594426 | Michelle Cook | Counselor | 308 E San Antonio St, New Braunfels, TX 78130-4538 | 2009-04-07 |
| 1306350848 | Loriana A Martin | Counselor | 641 N Walnut Ave, New Braunfels, TX 78130-7925 | 2017-11-20 |
| 1114327293 | David Michael Bennett | Counselor | 262 N Union Ave, New Braunfels, TX 78130-4450 | 2014-08-26 |
| 1902119944 | Delight M. Renken | Counselor | 542 Comal Ave, New Braunfels, TX 78130-7629 | 2010-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558115 | Kenshara Marie Cravens | Counselor | 7825 Diamond Oak Dr, Texas City, TX 77591-2545 | 2020-11-08 |
| 1144821836 | Jonathan Rea | Counselor | 1408b Stonehollow Dr, Kingwood, TX 77339-2276 | 2020-11-08 |
| 1881295806 | Erin Hope Ellett | Counselor | 360 N West St, Bertram, TX 78605-4321 | 2020-11-05 |
| 1366043432 | Teri Hensley Marrow | Counselor | 4922 Cedar Spring Dr, Missouri City, TX 77459-4088 | 2020-11-05 |
| 1205437373 | Florida Nyanpinga | Counselor | 12243 Valley Lodge Pkwy, Humble, TX 77346-3667 | 2020-11-05 |
| 1750982898 | Michelle Rittenour | Counselor | 3150 Garrison Rd Apt 517, Corinth, TX 76210-1814 | 2020-11-05 |
| 1982205191 | Ashlee Tolle Bixby | Counselor | 1035 Dairy Ashford Rd # Set220, Houston, TX 77079-4608 | 2020-11-04 |
| 1043811441 | Lydia Neighbors | Counselor | 100 S. Texas St, Tioga, TX 76271 | 2020-11-03 |
| 1093316358 | Michelle Hill Peterson | Counselor | 311 Bluebell Dr, Glenn Heights, TX 75154-8760 | 2020-11-03 |
| 1497356885 | Courtney Adcox | Counselor | 5503 Research Dr Apt 6105, San Antonio, TX 78240-5075 | 2020-11-03 |
| Find all providers with the same taxonomy | ||||
| City | NEW BRAUNFELS |
| Zip Code | 78130 |
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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.