Individual provider Active NPI

Linda Owen, LPC, LCDC, NCC

  • Mental Health Counselor
  • Waco, TX
National Provider Identifier
1508405267
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
79644 Issued in TX
Practice address
404 Ruby Dell LN
Waco, TX 76705-1251
Phone
(254) 652-9979
NPI assigned
Dec 29, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X 79644 TX Primary

Addresses

Primary practice location

404 Ruby Dell LN
Waco, TX 76705-1251

Mailing address

404 Ruby Dell LN
Waco, TX 76705-1251

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, VT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240215002199 TX Practitioner - Mental Health Counselor 4486001492 Reassigns benefits to 1 organization
I20260320000937 VT Practitioner - Mental Health Counselor 4486001492 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Connection to Recovery LLCGroup PAC ID 7416374491, 7 clinicians

Practice addresses (Care Compare)

14038 China Spring Rd
Suite 13
China Spring, TX 76633-3450
Phone (512) 334-6449

67 Eastern Ave
Suite 302
Saint Johnsbury, VT 05819-5642
Phone (512) 334-6449

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Connection to Recovery, LLC Mental Health CurrentSince Jan 6, 2024 Accepting new patients

Locations

14038 China Spring Rd
Ste 13
China Spring, TX 76633

14038 China Spring Rd
#13
China Spring, TX 76633
Phone (512) 334-6449

67 Eastern Ave
Ste 302
St Johnsbury, VT 05819
Phone (512) 334-6449

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1577577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1508405267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 RUBY DELL LN",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767051251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 RUBY DELL LN",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767051251",
            "telephone_number": "254-652-9979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWEN",
        "first_name": "LINDA",
        "credential": "LPC, LCDC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-29",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "79644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.