THE LISTENING RETREAT (NPI# 1982152948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982152948 |
| Entity Type | Organization |
| Organization Name | THE LISTENING RETREAT |
| Practice Address |
305 Regency Pkwy 413 Mansfield TX 76063-3794 |
| Mailing Address |
1709 Scottsdale Dr Arlington TX 76018-1868 |
| Practice Telephone | 6822928255 |
| Practice Fax Number | 6822012225 |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2016-09-19 |
| Authorized Official Name | SAMINA LONG (OWNER/LPC) |
| Authorized Official Telephone | 4052493386 |
| Authorized Official Credential | LPC, LCDC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 72046 | TX | Agencies |
| Street Address |
305 REGENCY PKWY 413 |
| City | MANSFIELD |
| State | TX |
| Zip Code | 76063-3794 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053337709 | Christie U. Egbuchunam | Family Medicine | 305 Regency Pkwy, Suite 509, Mansfield, TX 76063-3794 | 2006-07-14 |
| 1740765643 | Nadine Marie Hayes-grubbs | Counselor | 305 Regency Pkwy, Mansfield, TX 76063-3794 | 2018-09-27 |
| 1306227251 | Tiphynee Anne Salazar | Counselor | 305 Regency Pkwy, Ste. 601, Mansfield, TX 76063-3794 | 2015-06-17 |
| 1407199789 | Rosa Bailey | Counselor | 305 Regency Pkwy, Suite 601, Mansfield, TX 76063-3794 | 2013-04-04 |
| 1023357167 | Kristina M. Jennings | Counselor | 305 Regency Pkwy, Suite #601, Mansfield, TX 76063-3794 | 2013-02-09 |
| 1548511348 | Love.integrity.faith.enrichment Enterprises, LLC | Counselor | 305 Regency Pkwy, Suite 413, Mansfield, TX 76063-3794 | 2012-09-20 |
| 1770884603 | Christie U Egbuchunam Md Pa | Family Medicine | 305 Regency Pkwy, Suite 509, Mansfield, TX 76063-3794 | 2010-11-09 |
| 1417262544 | Megan R Pickens | Counselor | 305 Regency Pkwy, Suite 413, Mansfield, TX 76063-3794 | 2010-08-12 |
| 1215240916 | Burks Medical Consulting | Specialist/Technologist, Other | 305 Regency Pkwy, 413, Mansfield, TX 76063-3794 | 2010-07-22 |
| 1033311386 | Magdalene Maria Szuszkiewicz-garcia | Internal Medicine | 305 Regency Pkwy, Suite 405, Mansfield, TX 76063-3794 | 2007-05-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316558349 | Lindsey Vandyke, D.o. Pllc | Internal Medicine | 3150 E Broad Street, Ste 100, Mansfield, TX 76063 | 2020-08-13 |
| 1942819867 | Jennifer Que Chau Nguyen | Pharmacist | 980 U.S. 287 Frontage Rd #287, Mansfield, TX 76063 | 2020-07-27 |
| 1194346890 | Ana Maria Gonzalez | Dentist | 1600 Us Highway 287, Suite 102, Mansfield, TX 76063 | 2020-05-04 |
| 1245869080 | Stateserv Medical of Texas, LLC | Durable Medical Equipment & Medical Supplies | 7941 Rodeo Trail, Mansfield, TX 76063 | 2020-04-03 |
| 1649802232 | Mary Puanani Kamai | Nurse Practitioner | 1301 E. Debbie Lane, Suite 102 #1405, Mansfield, TX 76063 | 2020-02-11 |
| 1770123028 | Gladys Vera Nfodzo | Nurse Practitioner | 901 W. Broad St, Mansfield, TX 76063 | 2020-01-14 |
| 1669011300 | Alexa Smith | Nurse Practitioner | 2800 E Broad St #304, Mansfield, TX 76063 | 2019-12-28 |
| 1477190437 | Mel Rockwall LLC | Optometrist | 1701 East Broad Street, Ste 109, Mansfield, TX 76063 | 2019-12-09 |
| 1376185512 | Daniel Max & Marcandrea LLC | Optometrist | 1701 East Broad St., Ste 109, Mansfield, TX 76063 | 2019-10-09 |
| 1861046385 | Lacey Eaton | Counselor | 805 Killian Dr, Mansfield, TX 76063 | 2019-08-01 |
| Find all providers in zip 76063 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356899520 | Till Inc | Community/Behavioral Health | 272 Elm Ter, Mansfield, MA 02048-2641 | 2016-09-16 |
| 1952858169 | Volunteers of America | Community/Behavioral Health | 1915 Mcarthur Dr, Mansfield, LA 71052-4505 | 2016-09-06 |
| 1346694635 | Concern-professional Services for Children, Youth & Families | Community/Behavioral Health | 73 W Wellsboro St, Mansfield, PA 16933-1412 | 2016-04-22 |
| 1811362221 | Renee Wooster | Community/Behavioral Health | 609 Karlson Dr, Mansfield, OH 44904-1823 | 2015-12-10 |
| 1619358587 | G Tate and Associates,llc | Community/Behavioral Health | 423 Bowman St, Mansfield, OH 44903-1201 | 2015-06-16 |
| 1003202680 | Richland Co. Community Alternative Center | Community/Behavioral Health | 597 Park Ave E, Mansfield, OH 44905-2848 | 2015-04-10 |
| 1912272337 | Concern-professional Services for Children, Youth & Families | Community/Behavioral Health | 63 3rd St, Mansfield, PA 16933-1262 | 2012-03-19 |
| 1497044523 | Beyond Belief Healthcare Svcs. LLC | Community/Behavioral Health | 624 Hillcrest St, Mansfield, TX 76063-2163 | 2011-03-29 |
| 1003111675 | Healing Hearts Counseling Center | Community/Behavioral Health | 860 Lexington Ave, Mansfield, OH 44907-1996 | 2011-01-12 |
| 1659591949 | Tioga County Dept of Human Services | Community/Behavioral Health | St James & Third Street, St James Complex Suite 103a, Mansfield, PA 16933 | 2007-04-27 |
| Find all providers in MANSFIELD | ||||
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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.