Community Life Counseling
Organization Active NPI Professional Counselor · Gatesville, TX
NPI 1073377487 · NPPES record last updated Feb 7, 2024
Key facts
- NPI
- 1073377487
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Professional Counselor 101YP2500X
- Legal business name
- COMMUNITY LIFE COUNSELING
- Practice address
- 407 Highway 36 Byp N Ste 1
Gatesville, TX 76528-4680 - Phone
- (254) 865-9911
- Fax
- (254) 865-9912
- NPI assigned
- Feb 7, 2024
- Organization subpart
- No
Authorized official
- Name
- Steven Thomas Hardcastle, LPC
- Title
- Owner/Provider
- Phone
- (254) 865-9911
Practitioners 5
-
Steven T Hardcastle, LPC-S
-
Joy Clifford, LPC
-
Susan Kay Saunders, LPC
-
Kathy Jean Smith, LPC
-
Tamara Anne Aquino, LPC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240215004097 | TX | Part B Supplier - Clinic/Group Practice | 5092159244 |
Receives reassigned benefits from 1 practitioner Practice locations: Gatesville, TX |
National Provider Directory
Locations
407 Highway 36 Byp N
Ste 1
Gatesville, TX 76528
Phone (254) 865-9911
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor |
101YP2500X | Yes |
Addresses
Primary practice location
407 Highway 36 Byp N Ste 1
Gatesville, TX 76528-4680
Mailing address
407 Highway 36 Byp N Ste 1
Gatesville, TX 76528-4680
Phone (254) 865-9911
Other providers in Gatesville, TX
- Angelica Clark
- Nancy Jill Clay
- Joy Clifford
- Christine Cockrell
- Amanda Dee Collins
- Arianna Keegan Contreras
- Kathryn Cordell
- Coryell County Memorial Hospital Authority
- Coryell County Memorial Hospital Authority
- Coryell County Memorial Hospital Authority
All providers in Gatesville, TX · Professional Counselor in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 7, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.