Organization Active NPI

Pinnacle Therapeutic Services, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pflugerville, TX
National Provider Identifier
1669241279
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
PINNACLE THERAPEUTIC SERVICES, PLLC
Practice address
15901 Central Commerce Dr Ste 104
Pflugerville, TX 78660-2042
Phone
(512) 979-6708
NPI assigned
Dec 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

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

Authorized official

Name
Shawna Moss, LCSWNPI 1609151166
Title
Owner
Phone
(706) 202-8156

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

15901 Central Commerce Dr Ste 104
Pflugerville, TX 78660-2042

Mailing address

14199 Ih 35 Apt 25202
Pflugerville, TX 78660-6451
Phone (706) 202-8156

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240108006212 TX Part B Supplier - Clinic/Group Practice 8921459538 Receives reassigned benefits from 1 practitioner
Practice locations: Pflugerville, TX

National Provider Directory

National Provider Directory

Locations

15901 Central Commerce Dr
Ste 104
Pflugerville, TX 78660
Phone (512) 979-6708

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1703203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703203200000",
    "number": "1669241279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14199 IH 35 APT 25202",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786606451",
            "telephone_number": "706-202-8156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15901 CENTRAL COMMERCE DR STE 104",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786602042",
            "telephone_number": "512-979-6708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE THERAPEUTIC SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-22",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A",
        "authorized_official_last_name": "MOSS",
        "authorized_official_first_name": "SHAWNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-202-8156",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pflugerville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; 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.