STEPHEN P. KOUTRELAKOS (NPI# 1619111382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619111382 |
| Entity Type | Individual |
| Full Name | STEPHEN P. KOUTRELAKOS |
| Credential | LPC |
| Practice Address |
5212 75th St Lubbock TX 79424-2520 |
| Mailing Address |
6101 Private Road 6470 Lubbock TX 79416-3352 |
| Practice Telephone | 1806773369 |
| Mailing Telephone | 1806773369 |
| Enumeration Date | 2009-04-26 |
| Last Update Date | 2009-04-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 17617 | TX | Behavioral Health & Social Service Providers |
| Street Address |
5212 75TH ST |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79424-2520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841209160 | Patricia Driskill | Psychologist | 5212 75th St, Lubbock, TX 79424-2520 | 2006-08-05 |
| 1073866901 | Julianna Harris | Counselor | 5212 75th St, Lubbock, TX 79424-2520 | 2012-10-16 |
| 1952531733 | Shelby Dean Brake | Counselor | 5212 75th St, Lubbock, TX 79424-2520 | 2009-07-15 |
| 1841433992 | Gwendolyn Sue Cate | Counselor | 5212 75th St, Lubbock, TX 79424-2520 | 2009-04-18 |
| 1871702498 | Alan Wayne Korinek | Marriage & Family Therapist | 5212 75th St, Lubbock, TX 79424-2520 | 2007-05-21 |
| 1134337413 | Driskill and Bates Psychology Pa | Psychologist | 5212 75th St, Lubbock, TX 79424-2520 | 2007-05-18 |
| 1346313509 | Julie Diane Bates | Psychologist | 5212 75th St, Lubbock, TX 79424-2520 | 2006-11-16 |
| 1437264108 | Shauna Frisbie | Counselor | 5212 75th St, Lubbock, TX 79424-2520 | 2006-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376158121 | West Texas H.a.n.d. Pllc | Surgery | 5613 114th St, Lubbock, TX 79424 | 2020-09-09 |
| 1811519044 | H-e-b, Lp | Clinical Medical Laboratory | 4405 114th Street, Lubbock, TX 79424 | 2020-05-11 |
| 1184245573 | Jim Lee Lowrance | Chiropractor | 5152 69th Suite 101, Suite 101 Box #2, Lubbock, TX 79424 | 2020-04-27 |
| 1134787377 | April Denise Gardea | Speech-Language Pathologist | 6502 Slide Road Suite 204, Lubbock, TX 79424 | 2019-06-03 |
| 1215590658 | April Dawn Fortner | Counselor | 7617 86th St., Lubbock, TX 79424 | 2019-04-22 |
| 1427514561 | Thornhill Healthcare II, Inc. | Pharmacy | 6823 82nd St, Suite 600, Lubbock, TX 79424 | 2019-02-13 |
| 1174001358 | Emily Cowell | Technician, Other | 6102 82nd St Ste 10, Lubbock, TX 79424 | 2018-07-31 |
| 1043718786 | Edward Murphy | Pharmacist | 8702 Toledo Ave, Lubbock, TX 79424 | 2018-01-29 |
| 1013434364 | Yung Ling Tsai | Specialist/Technologist | 4707 116th Street, Lubbock, TX 79424 | 2017-08-28 |
| 1285187237 | Wter Quaker, Lp | Clinic/Center | 10205 Quaker Ave, Lubbock, TX 79424 | 2016-07-26 |
| Find all providers in zip 79424 | ||||
| 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 |
|---|---|---|---|---|
| 1093314858 | Madison Bishop | Counselor | 7526 103rd St, Lubbock, TX 79424-6699 | 2020-10-22 |
| 1356948574 | Patricia May Johnson | Counselor | 4601 20th St, Lubbock, TX 79407-2307 | 2020-10-01 |
| 1023627304 | Denovo Therapy LLC | Counselor | 2345 50th St Ste 501, Lubbock, TX 79412-2565 | 2020-07-23 |
| 1770115677 | Melinda S. Hutcherson | Counselor | 4304 94th St, Lubbock, TX 79423-3958 | 2020-02-07 |
| 1336619790 | Jeong Han Kim | Counselor | 3601 4th St Stop 6225, Lubbock, TX 79430-6225 | 2018-11-28 |
| 1427531052 | Catholic Charities | Counselor | 102 Avenue J, Lubbock, TX 79401-1438 | 2018-09-10 |
| 1407380587 | Karmen Adkins Neal | Counselor | 2574 74th Street, Suite 213, Lubbock, TX 79423 | 2017-04-17 |
| 1225560071 | Kellye Wilhite | Counselor | 410 Ironton Ave, Lubbock, TX 79416-4102 | 2017-03-31 |
| 1972043545 | Angela Lee | Counselor | 2781 81st St, Lubbock, TX 79423-2229 | 2017-03-02 |
| 1003285321 | Gabrielle K Keenum Ma Lpc PC | Counselor | 6309 Indiana Ave Ste D, Lubbock, TX 79413-5739 | 2015-09-16 |
| Find all providers in LUBBOCK | ||||
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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.