Mens Center for Counseling and Coaching

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MENS CENTER FOR COUNSELING AND COACHING

Practice address

101 Rainbow Dr
Livingston, TX 77399-9301

Phone

(336) 423-7697

NPI assigned

Feb 24, 2022

Last updated

Mar 13, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Patrick S IdeNPI 1174022966

Title

Owner

Phone

(336) 423-7697

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Patrick Sal Ide, MA, LPCA

  • Mental Health Counselor
  • Winston Salem, NC
  • NPI 1174022966
  Authorized official Same address or phone

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

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773360000000",
    "number": "1306592779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12884 S FRONTRUNNER BLVD STE 140",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840205488",
            "telephone_number": "336-423-7697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 RAINBOW DR",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773999301",
            "telephone_number": "336-423-7697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENS CENTER FOR COUNSELING AND COACHING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-24",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A",
        "authorized_official_last_name": "IDE",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-423-7697",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly McPfimeloronti, PH.D.
• Mediswan LLC (Dr. G Medical Solutions)
• Memorial Hospital of Polk County (CHI St. Luke's Heath Memorial Livingston)
• Memorial Hospital Polk County
• Memorial Hospital Polk County (Anesthesia Group)
• Sherry Middleton, PTA
• Annise Benoit Miller, LICSW
• Eloisa Miller, PTA
• Eleanor Mitchell
• Clela Mize

• Mental Health Clinic/Center (Including Community Mental Health Center) in Livingston, TX
• Providers in Livingston, TX by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.