MS. AUDRA JOY FUNK (NPI# 1033514062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033514062 |
| Entity Type | Individual |
| Full Name | MS. AUDRA JOY FUNK |
| Other Name | MS. AUDRA JOY INGRAM |
| Credential | LPC |
| Practice Address |
500 Turtle Cove Suite 200 A Rockwall TX 75087 |
| Practice Telephone | 9727431080 |
| Mailing Telephone | 9727431080 |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2015-11-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 69473 | TX | Behavioral Health & Social Service Providers |
| Street Address |
500 TURTLE COVE SUITE 200 A |
| City | ROCKWALL |
| State | TX |
| Zip Code | 75087 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437402310 | Shelley Vinson Stewart | Counselor | 500 Turtle Cove, Suite 200a, Rockwall, TX 75087 | 2012-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104452309 | Schweers Dental Pllc | Clinic/Center | 3005 N Goliad St., Suite 110, Rockwall, TX 75087 | 2020-03-19 |
| 1467091611 | Elsa Varughese | Nurse Practitioner | 414 Garrett Dr, Rockwall, TX 75087 | 2020-01-04 |
| 1578105391 | Jaya Raji Mathai | Psychiatry & Neurology | 2249 Ridge Rd., Rockwall, TX 75087 | 2019-10-14 |
| 1104326784 | Eunice B Ontita | Nurse Practitioner | 601 White Hills Dr., Suite 100, Rockwall, TX 75087 | 2018-02-20 |
| 1053811885 | Emelda Fehnyui Ndinjiakat | Licensed Vocational Nurse | 610 Louder Way, Fate, TEXAS 75087 | 2018-02-19 |
| 1588163885 | January Lauren Green | Nurse Practitioner | 6800 Heritage Parkway, Suite 201, Rockwall, TX 75087 | 2018-02-02 |
| 1093268328 | Anouk Family Chiropractic, Pllc | Chiropractor | 2555 Ridge Rd #150, Rockwall, TX 75087 | 2016-08-03 |
| 1962858134 | Katherine L. Crane | Counselor | 302 W. Kaufman St., Rockwall, TX 75087 | 2016-05-06 |
| 1669841102 | Richard Carroll Smith | Obstetrics & Gynecology | 2120 Clubview, Rockwall, TX 75087 | 2015-09-15 |
| 1033598032 | Michelle Knight | Massage Therapist | 767 Justin Rd, Rockwall, TX 75087 | 2015-05-22 |
| Find all providers in zip 75087 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003292715 | Jessica Holm | Counselor | 1424 Corrara Dr, Rockwall, TX 75032-7538 | 2015-08-04 |
| 1104229947 | Ronnie Harris | Counselor | 1262 Petaluma Dr, Rockwall, TX 75087-6646 | 2014-10-07 |
| 1437402310 | Shelley Vinson Stewart | Counselor | 500 Turtle Cove, Suite 200a, Rockwall, TX 75087 | 2012-10-17 |
| 1629344155 | Dustin W Swann | Counselor | 1101 Ridge Rd Ste 132, Rockwall, TX 75087-4250 | 2012-03-29 |
| 1366635955 | Michelle Mcconnell | Counselor | 304 Becky Ln, Rockwall, TX 75087-5216 | 2007-08-27 |
| 1700079514 | Milton Moeiini Timoteo | Counselor | 524 Blue Sage Dr, Rockwall, TX 75087-9293 | 2007-08-24 |
| 1154418788 | Alice Louise Mcdonald | Counselor | 2310 Ridge Rd, Rockwall, TX 75087 | 2006-10-06 |
| 1881620961 | Trevor Gunter Parr | Counselor | 1062 Wisperwood Dr, Rockwall, TX 75087-2269 | 2006-06-23 |
| 1003380833 | Jeff Chandler | Counselor | 935 W Ralph Hall Pkwy, Rockwall, TX 75032-8701 | 2019-01-15 |
| 1720539760 | Carolann David | Counselor | 101 S Fannin St, Suite 110, Rockwall, TX 75087-3775 | 2016-10-14 |
| Find all providers in ROCKWALL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.