PRISCILLA LYNN MONTELONGO (NPI# 1609413855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609413855 |
| Entity Type | Individual |
| Full Name | PRISCILLA LYNN MONTELONGO |
| Credential | LPC |
| Practice Address |
1716 Briarcrest Dr Ste 300 Bryan TX 77802-2777 |
| Practice Telephone | 9796917150 |
| Mailing Telephone | 9796917150 |
| Enumeration Date | 2019-12-06 |
| Last Update Date | 2019-12-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
69443 | TX | Behavioral Health & Social Service Providers |
| Street Address |
1716 BRIARCREST DR STE 300 |
| City | BRYAN |
| State | TX |
| Zip Code | 77802-2777 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265701841 | Jennifer M Meaders | Nurse Practitioner | 1716 Briarcrest Dr Ste 300, Bryan, TX 77802-2777 | 2011-12-28 |
| 1417564816 | Oralio Campos | Behavior Technician | 1716 Briarcrest Dr Ste 300, Bryan, TX 77802-2777 | 2020-09-29 |
| 1225644990 | Eric Oropeza | Behavior Technician | 1716 Briarcrest Dr Ste 300, Bryan, TX 77802-2777 | 2020-09-18 |
| 1275144016 | Walker Leach | Behavior Technician | 1716 Briarcrest Dr Ste 300, Bryan, TX 77802-2777 | 2020-08-14 |
| 1356952196 | Sabrina White | Behavior Technician | 1716 Briarcrest Dr Ste 300, Bryan, TX 77802-2777 | 2020-08-14 |
| 1104441294 | Damara Spaniol | Behavior Technician | 1716 Briarcrest Dr Ste 300, Bryan, TX 77802-2777 | 2020-06-15 |
| 1194349993 | Shavawn Mathis | Behavior Technician | 1716 Briarcrest Dr Ste 300, Bryan, TX 77802-2777 | 2020-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013476951 | Andrea Pittman | Student in an Organized Health Care Education/Training Program | Primary Care Medicine Department, College of Medicine, 2900 East 29th Street, Bryan, TX 77802 | 2019-03-19 |
| 1942789110 | Alicia Diane Ates | Dentist | 3001 Wildflower Drive, Suite #511, Bryan, TX 77802 | 2018-08-09 |
| 1588151682 | Metx LLC | Audiologist-Hearing Aid Fitter | 3030 E 29th St Ste 102, Bryan, TX 77802 | 2018-04-16 |
| 1073047437 | Abbi Messer | Family Medicine | 2900 29th Street, Suite 100, Bryan, TX 77802 | 2017-04-12 |
| 1265885180 | Scott Andrew Thayer | Dentist | 3811 Stoneparc Dr, Bryan, TX 77802 | 2016-07-15 |
| 1255792123 | Phoebe Mathew | Pharmacist | 3312 East 29th Street, Bryan, TX 77802 | 2016-03-18 |
| 1801253810 | Pearl Coleshill | Specialist/Technologist | 3121 University Drive E., Suite 100, Bryan, TX 77802 | 2016-01-21 |
| 1265847750 | Wesley Danielle Daniels | Dietitian, Registered | 3900-c Carter Creek Pkway, Bryan, TX 77802 | 2014-06-24 |
| 1235549098 | Regina V. Robertson | Home Health | 1121 Briarcrest Dr., Suite 102, Bryan, TX 77802 | 2014-05-02 |
| 1982024238 | Lampstand Nursing and Rehabilitation, Lp | Skilled Nursing Facility | 2001 E 29th Street, Bryan, TX 77802 | 2014-04-24 |
| Find all providers in zip 77802 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346737665 | Adrienne Marie Couch | Counselor | 1009 N Earl Rudder Fwy, Bryan, TX 77802-2959 | 2018-04-23 |
| 1609075001 | Gillean Pearson Wade | Counselor | 2490 Boonville Rd Ste 120, Bryan, TX 77808-2327 | 2007-07-16 |
| 1376756213 | Kathleen Ann Moreau | Counselor | 424 S Portland St, Bryan, OH 43506-2084 | 2007-05-07 |
| 1649398868 | Dorthy B Kotmann | Counselor | 702 S Washington Ave, Bryan, TX 77803-3985 | 2007-03-26 |
| 1124103452 | Barbara Jean Bryant | Counselor | 3131 E 29th St Ste F, Suite 100, Bryan, TX 77802-2788 | 2006-10-26 |
| 1285642579 | Robert Dawson Jones | Counselor | 1504 S Texas Ave, Bryan, TX 77802-1015 | 2006-08-03 |
| 1245267111 | Tammera Susan Brown | Counselor | 2402 Broadmoor Dr. #102 A, Bryan, TX 77802-2800 | 2006-06-27 |
| 1083662480 | Adrienne Shields | Counselor | 2402 Broadmoor Dr, Suite A-103, Bryan, TX 77802-2847 | 2006-05-05 |
| 1477060655 | Jessica Lynne Hall | Counselor | 804 S Texas Ave, Bryan, TX 77803-3946 | 2018-01-09 |
| 1174030357 | Diana Hofstetter | Counselor | 804 S Texas Ave, Bryan, TX 77803-3946 | 2018-01-09 |
| Find all providers in BRYAN | ||||
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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.