Insight Therapy of Texas

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

INSIGHT THERAPY OF TEXAS

Practice address

909 Ese Loop323 Ste 635
Tyler, TX 75701-0430

Phone

(903) 952-8737

Fax

(903) 787-5048

NPI assigned

Aug 1, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Deborah Renneker, LCSWNPI 1063888626

Title

Owner

Phone

(903) 952-8737

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Deborah Renneker, LCSW

  • Clinical Social Worker
  • Tyler, TX
  • NPI 1063888626
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1533081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704844800000",
    "number": "1114405206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 ESE LOOP323 STE 635",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757010430",
            "telephone_number": "903-952-8737",
            "fax_number": "903-787-5048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 ESE LOOP323 STE 635",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757010430",
            "telephone_number": "903-952-8737",
            "fax_number": "903-787-5048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSIGHT THERAPY OF TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-01",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A",
        "authorized_official_last_name": "RENNEKER",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-952-8737",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Ingham, RN
• Ashley Marie Ingledew
• Erica Suzanne Ingram, LMT
• Katori Ingram
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• Clinical Social Worker in Tyler, TX
• Providers in Tyler, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.