Pediatric Counseling of Mansfield, PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

73578 Issued in TX

Legal business name

PEDIATRIC COUNSELING OF MANSFIELD, PLLC

Doing business as

Pediatric and Family Counseling of Texarkana

Practice address

1848 Lone Star Rd Ste 125
Mansfield, TX 76063-5791

Phone

(682) 422-7070

NPI assigned

Mar 5, 2018

Organization subpart

No

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

Authorized official

Name

Elisha LambertNPI 1699809764

Title

Owner

Phone

(682) 422-7070

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Pediatric and Family Counseling of Texarkana Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 5

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

• Elisha Nall Lambert, LPC

  • Professional Counselor
  • Mansfield, TX
  • NPI 1699809764
  Medicare reassignment Authorized official
• Timothy D Stanley, MSLPE

  • Mental Health Counselor
  • Texarkana, TX
  • NPI 1538113402
  Medicare reassignment NPD
• Judy Luu, LMFT

  • Marriage & Family Therapist
  • Mansfield, TX
  • NPI 1831216720
  NPD
• Cryshanna Rockwell

  • Professional Counselor
  • Flower Mound, TX
  • NPI 1497447585
  NPD
• Heather Pina-McGhee, LPC

  • Professional Counselor
  • Arlington, TX
  • NPI 1801446505
  NPD (past)

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

{
    "created_epoch": "1520208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707177600000",
    "number": "1992207054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1848 LONE STAR RD STE 125",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760635791",
            "telephone_number": "682-422-7070",
            "fax_number": "682-323-0944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1848 LONE STAR RD STE 125",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760635791",
            "telephone_number": "682-422-7070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1109 College Dr",
            "address_purpose": "LOCATION",
            "city": "Texarkana",
            "state": "TX",
            "postal_code": "755033527",
            "country_code": "US",
            "telephone_number": "903-243-9552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PEDIATRIC COUNSELING OF MANSFIELD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-05",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A",
        "authorized_official_last_name": "LAMBERT",
        "authorized_official_first_name": "ELISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "682-422-7070"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "73578",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "345128803",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric and Family Counseling of Texarkana",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Professional Counselor in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; 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.