MS. JEAN ELICK MACH (NPI# 1821135195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821135195 |
| Entity Type | Individual |
| Full Name | MS. JEAN ELICK MACH |
| Other Name | MRS. JEAN ELICK LONG |
| Credential | LPC, ATR |
| Practice Address |
3500 W. Davis Street Suite 250 Conroe TX 77304 |
| Practice Telephone | 8324019701 |
| Practice Fax Number | 8325651010 |
| Mailing Telephone | 8324019701 |
| Mailing Fax Number | 8325651010 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2019-07-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 14157 | TX | Behavioral Health & Social Service Providers |
| N | 221700000X | Art Therapist | 97-040 | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 1810749-01 | 05 |
| Street Address |
3500 W. DAVIS STREET SUITE 250 |
| City | CONROE |
| State | TX |
| Zip Code | 77304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194348649 | Neuropsychiatric Hospital of Greater Houston, LLC | Psychiatric Hospital | 1317 South Loop Road 336 West, Conroe, TX 77304 | 2020-05-19 |
| 1780148676 | Muve - Conroe Ambulatory Surgical Center, LLC | Clinic/Center | 1246 N Farm To Market 3083 Rd W, Conroe, TX 77304 | 2019-01-25 |
| 1922591411 | Bradley Leiker II | Dentist | 381 South Loop 336 West Suite 500, Conroe, TEXAS 77304 | 2018-06-11 |
| 1598266009 | Chapman Pain Consultants | Anesthesiology | 4015 I45 North, Suite 230-1, Conroe, TX 77304 | 2018-02-21 |
| 1063932366 | Jonathan Garcia | Specialist/Technologist | 1716 Summergate Drive, Conroe, TX 77304 | 2017-06-27 |
| 1932634169 | 3083 Imaging LLC | Clinic/Center | 1246 N Fm 3083 West, Conroe, TX 77304 | 2017-04-25 |
| 1881138758 | Bolt Urgent Care and Imaging Center, LLC | Clinic/Center | 1246 Fm 3083 West, Conroe, TX 77304 | 2016-12-13 |
| 1497106272 | The Rio At Conroe, LLC | Skilled Nursing Facility | 604 South Conroe Medical Drive, Conroe, TX 77304 | 2016-06-23 |
| 1093165615 | Melanie Kay Plaster | Behavioral Analyst | 2626 Silver Shadow, Conroe, TX 77304 | 2016-06-14 |
| 1508249798 | Conroe Willis Family Medicine, Pllc | Family Medicine | 4015 I 45 N Ste 220, Conroe, TX 77304 | 2015-07-07 |
| Find all providers in zip 77304 | ||||
| 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 |
|---|---|---|---|---|
| 1871081653 | Meagan A Elzner | Counselor | 5049 Willow Point Dr, Conroe, TX 77303-3078 | 2018-04-26 |
| 1861927873 | The Center for Mighty Marriages & Families, Inc. | Counselor | 704 N Thompson St Ste 188, Conroe, TX 77301-2578 | 2017-04-27 |
| 1073720876 | Jennifer L Spillman | Counselor | 1020 Riverwood Ct # 3, Conroe, TX 77304-2811 | 2007-05-17 |
| 1871626176 | Tia Parsley | Counselor | 1020 Riverwood Ct Bldg 1, Conroe, TX 77304-2811 | 2007-03-14 |
| 1881764702 | Mary Jaye Kelly Johnston | Counselor | 355 Linwood, Conroe, TX 77304-2007 | 2006-11-08 |
| 1720196132 | Valerie L Bryan | Counselor | 409 N Loop 336, Ste 5b, Conroe, TX 77301 | 2006-08-26 |
| 1952415192 | William A Suber | Counselor | 404 W Lewis St, Conroe, TX 77301-2568 | 2006-08-17 |
| 1063422046 | Barbara E Holt | Counselor | 3307 W Davis St, Suite A, Conroe, TX 77304-1861 | 2006-08-09 |
| 1437143344 | John Marshall Bragg | Counselor | 1020 Riverwood Ct, Conroe, TX 77304 | 2005-09-07 |
| 1366097792 | Elizabeth A Morrison | Counselor | 620 Longmire Rd, Conroe, TX 77304-1819 | 2019-08-02 |
| Find all providers in CONROE | ||||
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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.