MICHAEL MAHAN (NPI# 1730634072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730634072 |
| Entity Type | Individual |
| Full Name | MICHAEL MAHAN |
| Credential | LCSW, LCDC |
| Practice Address |
6633 E Highway 290 Suite 212 Austin TX 78723-1172 |
| Practice Telephone | 5123421718 |
| Mailing Telephone | 5123421718 |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2016-08-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
11603 | TX | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
55657 | TX | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942500608 | Michael R Mahan | Physical Therapist | 830 Falls Creek Dr., Vandalia, OH 45377-9415 | 2010-10-28 |
| 1063921476 | Michael Craig Mahan | Physical Medicine & Rehabilitation | 2490 Willamette St Ste 5, Eugene, OR 97405-7211 | 2017-09-28 |
| 1265844922 | Michael Orin Mahan | Chiropractor | 1606 S Commercial Ave, Coleman, TX 76834-5018 | 2014-05-28 |
| 1811316847 | Michael Chad Mahan | Orthopaedic Surgery | 590 S Wakara Way, Salt Lake City, UT 84108-1200 | 2014-04-07 |
| 1962658914 | Michael J Mahan | Counselor | 3711 Long Beach Blvd, Suite 600, Long Beach, CA 90807-3315 | 2008-08-11 |
| 1922038892 | Michael A Mahan | Family Medicine | 610 W Adams St, Black River Falls, WI 54615-9010 | 2006-07-04 |
| 1518959659 | Michael M Mahan | Chiropractor | 214 S Mountain St, Union, SC 29379-2331 | 2005-08-16 |
| Street Address |
6633 E HIGHWAY 290 SUITE 212 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78723-1172 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487641296 | Polk Nursing Home Limited Partnership | Nursing Facility/Intermediate Care Facility | 6633 E Highway 290, Suite # 202, Austin, TX 78723-1172 | 2005-10-06 |
| 1669914925 | Blaise Geyer | Physician Assistant | 6633 E Highway 290, Suite 300, Austin, TX 78723-1172 | 2016-11-17 |
| 1033376454 | Irene Tobis | Psychologist | 6633 E Highway 290, Suite 300, Austin, TX 78723-1172 | 2008-05-22 |
| 1700928686 | Ricardo Higinio Garcia | Dentist | 6633 E Highway 290, Austin, TX 78723-1172 | 2007-02-13 |
| 1003965179 | Sharon Marie Lewis-chacon | Social Worker | 6633 E Highway 290, Suite 303, Austin, TX 78723-1172 | 2007-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144787318 | Bridget Wilson | Counselor | 6448 East Hwy 290, Suite F108, Austin, TX 78723 | 2019-02-25 |
| 1700378999 | Andrew Christopher Shanks | Counselor | 2132 Antone St, Austin, TX 78723 | 2018-06-04 |
| 1316434236 | Yasaman Ahmadieh | Pediatrics | 4900 Mueller Boulevard, Suite 3s.066c, Austin, TX 78723 | 2018-04-16 |
| 1215433354 | Erika Senai Ramirez | Nurse Practitioner | 6900 Ed Bluestein Blvd, Austin, TX 78723 | 2018-04-05 |
| 1518477645 | Brigitte Tyree | Registered Nurse | 2237 Zach Scott St, Austin, TX 78723 | 2017-10-03 |
| 1942735980 | Ila Sehgal | Pediatrics | 4900 Mueller Blvd, Ste 3s.066c, Dell Children's Medical Center, Austin, TX 78723 | 2017-04-27 |
| 1851825194 | Terry Blackmon | Behavioral Analyst | 2021 Zach Scott St, Austin, TX 78723 | 2017-04-13 |
| 1114337961 | Cassandra Sorensen | Home Health | 3001 Maplelawn Circle, Austin, TX 78723 | 2014-05-02 |
| 1336569052 | Ricky C Mehta | Internal Medicine | 6210 E Hwy 290 Ste 420, Austin, TX 78723 | 2014-04-21 |
| 1356761373 | Peter Caldwell Gilbreath | Pediatrics | 4900 Mueller Boulevard, Suite 3s.066c, Dell Children's Medical Center, Austin, TX 78723 | 2014-04-17 |
| Find all providers in zip 78723 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013985 | Kyle Allan Mccall | Counselor | 5015 S Ih 35 Frontage Rd, Suite 200, Austin, TX 78744 | 2020-11-06 |
| 1639770969 | Fadya Therapy Pllc | Counselor | 1452 Wild Basin Ldg, Austin, TX 78746-2700 | 2020-11-03 |
| 1669089504 | Tess Lenae Taylor | Counselor | 1205 Luna St, Austin, TX 78721-1229 | 2020-09-24 |
| 1053922682 | Texas Community Supervision Alternatives, LLC | Counselor | 6400 E Highway 290 Ste 200, Austin, TX 78723-1032 | 2020-08-17 |
| 1285252551 | Fundamentals of Recovery LLC | Counselor | 7509 Menchaca Rd Unit 301, Austin, TX 78745-6062 | 2020-07-13 |
| 1447883384 | Collin Speciale | Counselor | 6115 Mountain Villa Cv, Austin, TX 78731-3518 | 2020-02-19 |
| 1477104511 | Y. Diana Johnson | Counselor | 7901 Cameron Rd Ste 2-139, Austin, TX 78754-3802 | 2019-09-20 |
| 1083189930 | Jettie C Young | Counselor | 4101 Louise Lee Dr, Austin, TX 78725-4005 | 2018-10-08 |
| 1285112581 | Sara Galindo | Counselor | 1409 Sanchez St Unit A, Austin, TX 78702-1638 | 2018-07-30 |
| 1952896961 | Blanca Sanchez-navarro | Counselor | 3407 W Slaughter Ln Ste A, Austin, TX 78748-5715 | 2018-06-22 |
| Find all providers in AUSTIN | ||||
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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.