Allegiance Mental Health & Wellness Services LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ALLEGIANCE MENTAL HEALTH & WELLNESS SERVICES LLC

Doing business as

Allegiance Counseling
Allegiance Mental Health
Allegiance Wellness

Practice address

605 Austin Ave
Waco, TX 76701-2048

Phone

(254) 900-7986

NPI assigned

Oct 6, 2022

Last updated

Mar 21, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Theophlius Watson III, LCSW-SNPI 1821221177

Title

Managing Member

Phone

(505) 227-4338

Specialties & licenses 13

Addresses

Other names 3

• ALLEGIANCE COUNSELING Doing business as
• ALLEGIANCE MENTAL HEALTH Doing business as
• ALLEGIANCE WELLNESS Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Theophlius Watson III, LCSW

  • Clinical Social Worker
  • Hewitt, TX
  • NPI 1821221177
  Medicare reassignment Authorized official
• Krista Leigh Watson, RN, BSN

  • Registered Nurse
  • Waco, TX
  • NPI 1063212439
  NPD
• Christine Roseann Idemudia, APRN-CNP

  • Family Nurse Practitioner
  • Keller, TX
  • NPI 1366192973

  Health & Wellness Coach

  NPD (past)
• Stephanie Ann Matthews, LCSW

  • Clinical Social Worker
  • San Antonio, TX
  • NPI 1093239782
  NPD (past)
• Wade Wheeler, LCSW

  • Clinical Social Worker
  • Archer, FL
  • NPI 1265631857
  NPD (past)

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

{
    "created_epoch": "1665014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742515200000",
    "number": "1760107387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 AUSTIN AVE",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767012048",
            "telephone_number": "254-900-7986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 AUSTIN AVE",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767012048",
            "telephone_number": "254-900-7986"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1061 Hesselridge",
            "address_purpose": "LOCATION",
            "city": "Hewitt",
            "state": "TX",
            "postal_code": "766434401",
            "country_code": "US",
            "telephone_number": "505-227-4338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALLEGIANCE MENTAL HEALTH & WELLNESS SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-06",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "THEOPHLIUS",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "505-227-4338",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "LCSW-S"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALLEGIANCE COUNSELING",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ALLEGIANCE MENTAL HEALTH",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ALLEGIANCE WELLNESS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ALLEGIANCE WELLNESS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robin Ruth Alford, ST
• Imran Ali-Bandesha, MD
• Erin Elizabeth Allbritton, DDS, MS
• Cameron Todd Alldredge, PHD
• Linda L Allee-Brickey
• Bruce W Allen, PH.D.
• Dannie Michele Allen, COTA
• Janie Carolyn Allen, LCSW
• Sarah S. Allen, LMFT
• Savannah Lindsey Allen, LMSW

• Clinical Social Worker in Waco, TX
• Providers in Waco, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; 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.