THERESA JACLYN REEDER (NPI# 1457410201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457410201 |
| Entity Type | Individual |
| Full Name | THERESA JACLYN REEDER |
| Credential | LPC |
| Practice Address |
4101 S Medford Dr Lufkin TX 75901-5633 |
| Practice Telephone | 9366391141 |
| Mailing Telephone | 9366391141 |
| Enumeration Date | 2006-12-07 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
20045 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS BLUE SHIELD | 84844L | 01 |
| Street Address |
4101 S MEDFORD DR |
| City | LUFKIN |
| State | TX |
| Zip Code | 75901-5633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538103320 | Steven L Kahn | Counselor | 4101 S Medford Dr, Lufkin, TX 75901-5633 | 2006-06-15 |
| 1750698411 | Brittany Brown Milstead | Counselor | 4101 S Medford Dr, Lufkin, TX 75901-5633 | 2010-09-01 |
| 1275847659 | Amy Elizabeth Durham | Speech-Language Pathologist | 4101 S Medford Dr, Lufkin, TX 75901-5633 | 2010-07-28 |
| 1659698322 | Kenneth Van Hicks | Counselor | 4101 S Medford Dr, Lufkin, TX 75901-5633 | 2010-04-21 |
| 1174853964 | Micaela Tharp Fitzgerald | Counselor | 4101 S Medford Dr, Lufkin, TX 75901-5633 | 2009-12-30 |
| 1184952012 | Jamie Erin Smith | Speech-Language Pathologist | 4101 S Medford Dr, Lufkin, TX 75901-5633 | 2009-12-04 |
| 1184950206 | Kyrie A Reyes | Counselor | 4101 S Medford Dr, Lufkin, TX 75901-5633 | 2009-10-23 |
| 1831324185 | Julie Cay Elliott | Social Worker | 4101 S Medford Dr, Lufkin, TX 75901-5633 | 2009-05-15 |
| 1669626602 | John Anthony Grant | Counselor | 4101 S Medford Dr, Lufkin, TX 75901-5633 | 2008-11-04 |
| 1902058076 | Crista Lynn Richbourg | Speech-Language Pathologist | 4101 S Medford Dr, Lufkin, TX 75901-5633 | 2008-10-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518485176 | Dana Caroline Carter | Physical Therapist | 211 South Timberland, Lufkin, TX 75901 | 2017-09-05 |
| 1720433865 | Irene Ifeyinwa Uke | Nurse Practitioner | East Texas Behavioral Health Network, 2001 S Medford Dr., Lufkin, TX 75901 | 2016-04-26 |
| 1225316417 | Anupama Singh Thapar | Dentist | 1809 Tulane Dr, Aspen Dental, Lufkin, TX 75901 | 2011-07-22 |
| 1679889901 | A 2 Y Investments | Durable Medical Equipment & Medical Supplies | 5038 Champions Drive, Lufkin, TX 75901 | 2010-08-24 |
| 1477731321 | Anita K Scoggins | Speech-Language Pathologist | 4100 S Medford Dr Ste 208, Lufkin, TX 75901 | 2008-02-02 |
| 1891982104 | Assisted Living Concepts Inc | Assisted Living Facility | 406 Gobblers Knob Road, Lufkin, TX 75901 | 2007-10-01 |
| 1114077724 | Burke Center | Intermediate Care Facility, Mental Illness | 1010 Cunningham, Lufkin, TX 75901 | 2007-01-12 |
| 1609941921 | Norman Allan Beard | Hearing Instrument Specialist | 2001 N Timberland Dr., Lufkin, TX 75901 | 2006-11-21 |
| 1619077708 | Brian Thomas Spore | Family Medicine | 3804 S Medford, Lufkin, TX 75901 | 2006-09-25 |
| 1689634495 | Charles Bryan Pool | Chiropractor | 1400 E Denman Avenue, Lufkin, TX 75901 | 2006-03-24 |
| Find all providers in zip 75901 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295226520 | Julieta Banda Edmond | Counselor | 103 Wildlife Ln, Lufkin, TX 75904-1615 | 2018-05-22 |
| 1962947549 | Marsha Bradford | Counselor | 805 Sandyland Dr, Lufkin, TX 75904-5700 | 2017-01-05 |
| 1326422197 | Julie Marie Mcmanus | Counselor | 888 Carrell Rd, Lufkin, TX 75901-4770 | 2015-07-11 |
| 1588005870 | Kyle J Hanes | Counselor | 814 Ellis Ave, Lufkin, TX 75904-3812 | 2013-07-15 |
| 1790020246 | Brandy A Goins-whitehead | Counselor | 103 Wildlife Lane, Lufkin, TX 75904 | 2012-12-10 |
| 1093009441 | Jana Lee Richardson | Counselor | 1098 Benton Dr, Lufkin, TX 75901-7907 | 2011-06-02 |
| 1710284146 | Ranleigh Jayne Mcadams | Counselor | 1332 E Denman Ave, Ste 103, Lufkin, TX 75901-5764 | 2011-02-21 |
| 1033412309 | Emily Kathleen Havard | Counselor | 600 South John Redditt Drive, Lufkin, TX 75904-3121 | 2010-12-08 |
| 1346419538 | Charlotte Ann Ingle | Counselor | 512 Kiln St, Lufkin, TX 75904-3855 | 2008-02-21 |
| 1851506141 | Christi Leigh Rowe | Counselor | 207 E Frank Ave, Lufkin, TX 75901-0301 | 2007-05-11 |
| Find all providers in LUFKIN | ||||
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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.