ATHENA MASK (NPI# 1952935454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952935454 |
| Entity Type | Individual |
| Full Name | ATHENA MASK |
| Credential | MT-BC |
| Practice Address |
2455 N Eastman Rd Longview TX 75605-4057 |
| Mailing Address |
408 E South St Apt 2 Kilgore TX 75662-2552 |
| Practice Telephone | 9033159338 |
| Mailing Telephone | 9033159338 |
| Enumeration Date | 2020-02-24 |
| Last Update Date | 2020-02-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225A00000X | Music Therapist | 14101 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2455 N EASTMAN RD |
| City | LONGVIEW |
| State | TX |
| Zip Code | 75605-4057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194353730 | Dusty Rae Hane | Nurse Practitioner | Diagnostic Clinic of Longview, 2901 N Fourth St, Longview, TX 75605 | 2020-03-30 |
| 1831720374 | Kaycee Whatley | Nurse Practitioner | 323 W Hawkins Parkway, Longview, TX 75605 | 2020-02-03 |
| 1245733492 | Somers Pediatrics | Pediatrics | 103 W. Loop 281, Suite 474, Longview, TX 75605 | 2018-03-14 |
| 1467838391 | Piney Woods Er II LLC | Clinic/Center | 120 East Loop 281, Longview, TX 75605 | 2015-08-03 |
| 1386023968 | Elizabeth Ann Heeb Tidwell | Obstetrics & Gynecology | 802 Medical Dr Ste 100, Longview, TX 75605 | 2015-05-28 |
| 1215353651 | Tracy Hicks | Nurse Practitioner | 102 Commander Dr Ste 9, Longview, TX 75605 | 2014-03-10 |
| 1073881280 | Deirdre Scotter | Specialist/Technologist | 201 E Tomlinson Pkwy, Longview, TX 75605 | 2011-12-02 |
| 1316230139 | Traditions Hospice of Longview, LLC | Hospice Care, Community Based | 4362 N Us Hwy 259, Suite B, Longview, TX 75605 | 2011-05-26 |
| 1184916769 | Telema Dikibujiri Nga | Pediatrics | Longview Regional Medical Center, 2901 North Fourth Street, Longview, TX 75605 | 2011-05-13 |
| 1902101108 | The Veta Lewis Behavioral Health Group | Counselor | 1800 S. Judson St., Suite 100, Longview, TX 75605 | 2011-01-19 |
| Find all providers in zip 75605 | ||||
| Taxonomy Code | 225A00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Music Therapist |
| Music therapists use music interventions to assess clients' strengths and needs, develop goals, implement services, and evaluate and document progress for individuals of all ages. Music therapists facilitate changes in physical, cognitive, emotional, and/or psychosocial health. |
| Notes: Source: American Music Therapy Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598379745 | Allison Leigh Landes | Music Therapist | 3215 Appalachian Trl, Kingwood, TX 77345-1092 | 2020-09-04 |
| 1881206043 | Katherine Boehs | Music Therapist | 10 Cottonwood Ln Apt 313, Canyon, TX 79015-2136 | 2020-08-19 |
| 1033728746 | Karen Wade | Music Therapist | 4753 Misty Ranch Dr, Spring, TX 77386-4741 | 2020-07-28 |
| 1225652092 | Heather Leanne Mock | Music Therapist | 210 E Sycamore St Apt 203, Denton, TX 76201-6131 | 2020-06-07 |
| 1245867001 | Katelyn Blankenburg | Music Therapist | 16610 Rose Bay Trl, Cypress, TX 77429-4934 | 2020-03-23 |
| 1588295737 | Roots Music Therapy, LLC | Music Therapist | 12207 Melon St, San Antonio, TX 78247-4322 | 2020-01-27 |
| 1659901908 | Luis Villarreal | Music Therapist | 1786 Coffee Rd, Brownsville, TX 78521 | 2020-01-24 |
| 1710517545 | Berenice Estefania Chavez | Music Therapist | 939 Lee Hall, San Antonio, TX 78201-3017 | 2020-01-21 |
| 1811536907 | Megan Marchand Striley | Music Therapist | 12548 Kara Lynn Pl, Tyler, TX 75704-8703 | 2020-01-06 |
| 1679111884 | Laura Head | Music Therapist | 5930 Arapaho Rd Apt 2040, Dallas, TX 75248-3628 | 2019-12-18 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ATHENA MASK.
| 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.