Pegasus Schools, Inc

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

844396 Issued in TX

Legal business name

PEGASUS SCHOOLS, INC

Practice address

896 Robin Ranch Rd
Lockhart, TX 78644-4578

Phone

(512) 376-2101

NPI assigned

Jan 22, 2007

Last updated

Aug 7, 2020By 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

Roberta Smith

Title

Billing Specialist

Phone

(512) 432-1602

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 27

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.

• Ziba Rezaee, M.D.

  • Psychiatry Physician
  • Lakeway, TX
  • NPI 1902066236

  Single Specialty

  Medicare reassignment NPD
• Tonya Shankle

  • Clinical Social Worker
  • Austin, TX
  • NPI 1639535149
  Medicare reassignment NPD
• Therese Werner

  • Clinical Social Worker
  • Lockhart, TX
  • NPI 1154966307
  Medicare reassignment NPD
• Keeley Sarie Armes

  • Professional Counselor
  • Lockhart, TX
  • NPI 1295358133
  NPD
• Kimberly Bass, LPC

  • Professional Counselor
  • Houston, TX
  • NPI 1790981561
  NPD (past)
• Linda Ida Bujan, LPC

  • Professional Counselor
  • Lockhart, TX
  • NPI 1942327184
  NPD (past)
• Karen Z Burk

  • Professional Counselor
  • Lockhart, TX
  • NPI 1144497447
  NPD (past)
• Scott Caton, M.A., LPC

  • Professional Counselor
  • Lockhart, TX
  • NPI 1821221979
  NPD (past)
• Kimberly Frueh, LPC

  • Professional Counselor
  • Lockhart, TX
  • NPI 1932459849
  NPD (past)
• Kathryn Pauline Gates

  • Marriage & Family Therapist
  • Lockhart, TX
  • NPI 1609014901
  NPD (past)
• Kelly Marie Gilleland, LPC

  • Professional Counselor
  • Bastrop, TX
  • NPI 1386190858
  NPD (past)
• Katherine E Harris, LPC, RPT, M.A.

  • Professional Counselor
  • San Marcos, TX
  • NPI 1215234430
  NPD (past)

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596758400000",
    "number": "1316091200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 577",
            "city": "LOCKHART",
            "state": "TX",
            "postal_code": "786440577",
            "telephone_number": "512-376-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "896 ROBIN RANCH RD",
            "city": "LOCKHART",
            "state": "TX",
            "postal_code": "786444578",
            "telephone_number": "512-376-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEGASUS SCHOOLS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "512-432-1602"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "TX",
            "license": "844396",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "844396",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145026401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylor O'Grady, M.S. CCC-SLP
• Veronica Parker, M.D.
• Hardev Arun Patel, DDS
• Sarika Patel
• Shailesh Patel
• Jennifer Pemp, PTA
• Ai M Perrard, D.D.S.
• David Orrin Peters, OD
• Ronald James Peterson, D.C.
• Pinnacle Health Facilities Xix LP (Parkview Nursing and Rehabilitation Center)

• Professional Counselor in Lockhart, TX
• Providers in Lockhart, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2020; 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.