Spindletop MHMR Services
Organization Active NPI Mental Health Counselor · Beaumont, TX
NPI 1467517656 · NPPES record last updated Dec 5, 2022
Key facts
- NPI
- 1467517656
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- NA (TX)
- Legal business name
- SPINDLETOP MHMR SERVICES
- Practice address
- 2750 S 8TH St
Beaumont, TX 77701-7719 - Phone
- (409) 839-1000
- Fax
- (409) 839-1066
- NPI assigned
- Dec 27, 2006
- Organization subpart
- No
Authorized official
- Name
- Annie J Smith
- Title
- Reimbursement Manager
- Phone
- (409) 839-1009
Other NPIs on the same Medicare enrollment 1
Corporate family (same tax ID) 13
Practitioners 99
-
Natalia Albright, DNP, MSN, PMHNP-BC
-
Lori Leigh Bougere, PMHNP-BC, FNP-C
-
Keith Caramelli, MD PHSYCHIATRIST
-
Gloria Annette Cooper, MED/LPC
-
Kevin Mark Correia, PH.D.
-
Don Lashoni Cowley, NURSE PRACTITIONER
-
Lauren Douglas, M.D.
-
Michael A Fuller, M.D.
-
Shan T Guillory, LPC
-
Melba T. Hilliard, LPC
-
Robin E Hostetter, M.D.
-
Chidinma Isinguzo, M.D
-
Lauren James, D.O.
-
Munira Jiwani, PMHNP
-
Roger G Joe, MD, MBA
-
Daphne Dione Jones, M.ED., LPC-S
-
Grace Kang, DO
-
Natalia Kazakevich, M.D
-
Janet Lawrence, LPC, LCDC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040228000236 | TX | Part B Supplier - Clinic/Group Practice | 1658268321 |
Receives reassigned benefits from 102 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Beaumont, TX; Orange, TX; Port Arthur, TX; Silsbee, TX |
National Provider Directory
- Tax ID family
- Spindletop MHMR Services
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | NA | TX | Yes |
Addresses
Primary practice location
2750 S 8TH St
Beaumont, TX 77701-7719
Mailing address
2750 S 8TH St
Beaumont, TX 77701-7719
Phone (409) 839-1000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 135228806 | Medicaid | TX |
Other providers in Beaumont, TX
- Spindletop MHMR Services
- Spindletop MHMR Services
- Spindletop MHMR Services
- Spindletop MHMR Services
- Spindletop MHMR Services
- Spindletop MHMR Services
- Spindletop MHMR Services
- Spindletop MHMR Services
- Spindletop MHMR Services
- Spindletop MHMR Services
All providers in Beaumont, TX · Mental Health Counselor in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 2022. 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.