Active NPI
Cheryl Diane Mikeska, MA
- Professional Counselor
- Bryan, TX
National Provider Identifier
1295991958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 12244
- Practice address
- 2813 Apple Creek Cir
Bryan, TX 77802-2904 - Phone
- (979) 774-5011
- Fax
- (979) 774-5011
- NPI assigned
- Aug 1, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 12244 | TX | Primary |
Addresses
Primary practice location
2813 Apple Creek Cir
Bryan, TX 77802-2904
Mailing address
2402 Broadmoor Dr Ste A102
Bryan, TX 77802-2800
Phone (979) 774-5011
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1426462-01 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250701001377 | TX | Practitioner - Mental Health Counselor | 2163935347 | Practice locations: Bryan, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1716 Briarcrest Dr
Suite 602
Bryan, TX 77802-2751
Phone (979) 324-5707
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12244 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tammera S. Brown | Professional | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217548800000",
"number": "1295991958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2402 BROADMOOR DR STE A102",
"city": "BRYAN",
"state": "TX",
"postal_code": "778022800",
"telephone_number": "979-774-5011",
"fax_number": "979-774-5011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2813 APPLE CREEK CIR",
"city": "BRYAN",
"state": "TX",
"postal_code": "778022904",
"telephone_number": "979-774-5011",
"fax_number": "979-774-5011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIKESKA",
"first_name": "CHERYL",
"middle_name": "DIANE",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-01",
"last_updated": "2008-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "12244",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1426462-01",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bryan, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.