Individual provider Active NPI

Catina Souder, M.ED., LPC

  • Professional Counselor
  • Wellington, TX
National Provider Identifier
1922426253
Registry record updated Apr 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
68304 Issued in TX
Practice address
1611 Dalhart St
Wellington, TX 79095-4113
Phone
(806) 930-9130
NPI assigned
Apr 3, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 68304 TX Primary
School Counselor 101YS0200X 68304 TX

Addresses

Primary practice location

1611 Dalhart St
Wellington, TX 79095-4113

Mailing address

1611 Dalhart St
Wellington, TX 79095-4113
Phone (806) 930-9130

Other names 1

  • Tina Souder Professional name

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
I20240610000300 TX Practitioner - Mental Health Counselor 6305388034 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1510 15TH St
Wellington, TX 79095-3810
Phone (806) 447-0147

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
68304TXMDSchool Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rolling Plains Counseling & Wellness Center LLC Professional CurrentSince Apr 21, 2024 Accepting new patients

Locations

608 N Main St
Childress, TX 79201
Phone (806) 447-0147

1510 15th St
Wellington, TX 79095
Phone (806) 447-0147

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": "1396483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396483200000",
    "number": "1922426253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 DALHART ST",
            "city": "WELLINGTON",
            "state": "TX",
            "postal_code": "790954113",
            "telephone_number": "806-930-9130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 DALHART ST",
            "city": "WELLINGTON",
            "state": "TX",
            "postal_code": "790954113",
            "telephone_number": "806-930-9130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUDER",
        "first_name": "CATINA",
        "credential": "M.ED., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-03",
        "last_updated": "2014-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "68304",
            "primary": true
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "TX",
            "license": "68304",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TINA",
            "last_name": "SOUDER",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Wellington, TX

Sources for this page

Verify at the official NPI Registry.