Therapeia Counseling Center, PLLC
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Ingram, TX
NPI 1356004014 · NPPES record last updated Aug 12, 2024
Key facts
- NPI
- 1356004014
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- Legal business name
- THERAPEIA COUNSELING CENTER, PLLC
- Practice address
- 304 Highway 39
Ingram, TX 78025-3273 - Phone
- (469) 716-3871
- NPI assigned
- Oct 20, 2021
- Organization subpart
- No
Authorized official
- Name
- Erin Nicole Ingram, LCSW
- Title
- Owner
- Phone
- (469) 716-3871
Practitioners 1
-
Erin Nicole Ingram, LCSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231208003442 | TX | Part B Supplier - Clinic/Group Practice | 2062861578 |
Receives reassigned benefits from 1 practitioner Practice locations: Ingram, TX |
National Provider Directory
Locations
304 Highway 39
Ingram, TX 78025
Phone (469) 716-3871
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Yes |
Addresses
Primary practice location
304 Highway 39
Ingram, TX 78025-3273
Mailing address
304 Highway 39
Ingram, TX 78025-3273
Phone (469) 716-3871
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | erin@therapeiacounselingcenter.com |
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All providers in Ingram, TX · Mental Health Clinic/Center (Including Community Mental Health Center) in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 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.