Individual provider Active NPI

Cherica Deshaun Allen, MA

  • Professional Counselor
  • Manor, TX
National Provider Identifier
1851914923
Registry record updated May 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
80036 Issued in TX
Practice address
12500 Shadowglen Trce Apt 2202
Manor, TX 78653-2219
Phone
(512) 579-6491
NPI assigned
May 25, 2020
Last updated
May 25, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 80036 TX Primary

Addresses

Primary practice location

12500 Shadowglen Trce Apt 2202
Manor, TX 78653-2219

Mailing address

12500 Shadowglen Trce Apt 2202
Manor, TX 78653-2219
Phone (512) 579-6491

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231206000923 TX Practitioner - Mental Health Counselor 9436508298 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

304 S 22ND St
Temple, TX 76501-4726
Phone (254) 778-4841

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
80036TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Central Counties Center for Mental Health & Mental Retardation SRVS CurrentSince Jan 1, 2024 Accepting new patients
Central Counties Center for Mental Health & Mental Retardation SRVS CurrentSince Jan 1, 2024 Accepting new patients

Locations

304 S 22nd St
Temple, TX 76501
Phone (254) 298-7000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1590364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590364800000",
    "number": "1851914923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12500 SHADOWGLEN TRCE APT 2202",
            "city": "MANOR",
            "state": "TX",
            "postal_code": "786532219",
            "telephone_number": "512-579-6491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12500 SHADOWGLEN TRCE APT 2202",
            "city": "MANOR",
            "state": "TX",
            "postal_code": "786532219",
            "telephone_number": "512-579-6491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "CHERICA",
        "middle_name": "DESHAUN",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-25",
        "last_updated": "2020-05-25",
        "certification_date": "2020-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "80036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manor, TX

Sources for this page

Verify at the official NPI Registry.