PEDIATRIC COUNSELING OF MANSFIELD (NPI# 1992207054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992207054 |
Entity Type | Organization |
Organization Name | PEDIATRIC COUNSELING OF MANSFIELD |
Practice Address |
404 E Broad St Ste 200 Mansfield TX 76063-1728 |
Practice Telephone | 6824227070 |
Practice Fax Number | 6823230944 |
Mailing Telephone | 6824227070 |
Mailing Fax Number | 6823230944 |
Enumeration Date | 2018-03-05 |
Last Update Date | 2018-03-05 |
Authorized Official Name | MRS. ELISHA LAMBERT (OWNER/THERAPIST) |
Authorized Official Telephone | 6824227070 |
Authorized Official Credential | LPC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YP2500X |
Counselor Specialization: Professional |
73578 | TX | Behavioral Health & Social Service Providers |
N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 345128803 | 05 |
Street Address |
404 E BROAD ST STE 200 |
City | MANSFIELD |
State | TX |
Zip Code | 76063-1728 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801446505 | Heather Mcghee | Counselor | 404 E Broad St Ste 200, Mansfield, TX 76063-1728 | 2019-09-13 |
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 | 261QM0855X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adolescent and Children Mental Health |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790335271 | Therathrive LLC | Clinic/Center | 601 Strada Cir Ste 102, Mansfield, TX 76063-3219 | 2019-09-16 |
1245858950 | Third Street Community Clinic Inc | Clinic/Center | 200 Park Ave W, Mansfield, OH 44902-1608 | 2020-07-09 |
1407181605 | Jsn Associates, Pllc | Clinic/Center | 9 Crestlake Ct, Mansfield, TX 76063-5469 | 2009-10-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053911776 | Wellness Work Counseling Service Pllc | Clinic/Center | 3016 Polar Ln Ste 207, Cedar Park, TX 78613-3039 | 2020-10-30 |
1942807250 | Chart Counseling Services Pllc | Clinic/Center | 3900 S Stonebridge Dr Ste 203, Mckinney, TX 75070-8023 | 2020-10-08 |
1114548831 | Integral Counseling and Wellness, LLC | Clinic/Center | 1846 Lockhill Selma Rd Ste 104, San Antonio, TX 78213-1551 | 2020-05-05 |
1679100986 | Sarah Douglas Cox, Lcsw Pllc | Clinic/Center | 9922 Caleb Way, Missouri City, TX 77459-6472 | 2020-03-25 |
1366080962 | Eating Recovery Center of Texas, LLC | Clinic/Center | 5120 Legacy Dr, Plano, TX 75024 | 2019-12-13 |
1326681354 | Evolving Mind Solutions, LLC | Clinic/Center | 4200 S Hulen St Ste 668, Fort Worth, TX 76109-4997 | 2019-10-22 |
1932754363 | Proactive Behavior & Solutions | Clinic/Center | 2626 Scenic Point, Arlington, TX 76006 | 2019-08-02 |
1073175576 | Remuda Ranch Counseling Services | Clinic/Center | 10333 Remuda View Dr, San Antonio, TX 78254-1759 | 2019-07-03 |
1366008583 | Progressive Counseling Services | Clinic/Center | 5820 34th St Apt 271, Lubbock, TX 79407-3352 | 2019-05-13 |
1053878355 | Mainstay Youth Services LLC | Clinic/Center | 7919 West Rd, Houston, TX 77064-8042 | 2019-02-23 |
Find all providers with the same taxonomy |
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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.