Active NPI
Annette Morales-Tymczak, LPC
- Counselor
- Baytown, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 64440
- Practice address
- 6730 Independence #300
Baytown, TX 77521 - Phone
- (713) 351-7360
- NPI assigned
- Mar 4, 2010
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 64440 | TX | Primary |
Addresses
Primary practice location
6730 Independence #300
Baytown, TX 77521
Mailing address
PO Box 66308
Houston, TX 77266
Phone (832) 548-5076
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080462703 | 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
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Texas a & M University System, HSC, College of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4119 Montrose Blvd
Suite 230
Houston, TX 77006-4964
Phone (281) 990-1506
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64440 | TX | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geode Health of Texas, PLLC | Current | Accepting new patients | |
| BSW Geode Clinicians of Texas PLLC | Current | Accepting new patients |
Locations
1211 W 22nd St
Ste 406
Oak Brook, IL 60523
4119 Montrose Blvd
Ste 230
Houston, TX 77006
Phone (281) 990-1506
768 Bandit Trl
Keller, TX 76248
Phone (817) 865-3954
3009 E Renner Rd
Ste 120
Richardson, TX 75082
Phone (469) 808-1690
7000 Bee Caves Rd
Ste 325
West Lake Hills, TX 78746
Phone (512) 200-8334
Interoperability endpoints
- annette.morales-tymczak.1@25899.direct.athenahealth.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatry Physician
- Allen, TX
- NPI 1851037162
-
- Psychiatry Physician
- Allen, TX
- NPI 1790482834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401408000000",
"number": "1467775478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 66308",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77266",
"telephone_number": "832-548-5076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6730 INDEPENDENCE #300",
"city": "BAYTOWN",
"state": "TX",
"postal_code": "77521",
"telephone_number": "713-351-7360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORALES-TYMCZAK",
"first_name": "ANNETTE",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-04",
"last_updated": "2014-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "64440",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "080462703",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baytown, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2014; 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.