PROVIDENCE SERVICE CORPORATION OF TEXAS (NPI# 1215007141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215007141 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE SERVICE CORPORATION OF TEXAS |
| Other Organization Name | PROVIDENCE SERVICE CORPORATION OF TEXAS |
| Practice Address |
1524 S. Ih35 Suite 210 Austin TX 78704 |
| Practice Telephone | 5123438606 |
| Practice Fax Number | 5123438620 |
| Mailing Telephone | 5123438606 |
| Mailing Fax Number | 5123438620 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | TINA WIER (BILLING COORDINATOR) |
| Authorized Official Telephone | 5123438606 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Providence Service Corporation of Texas | Former Legal Business Name - Organization |
| Street Address |
1524 S. IH35 SUITE 210 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494018 | 340b Partners Pharmacy - Dallas LLC | Pharmacy | 2800 S Ih 35 Frontage Rd, Suite 105, Austin, TX 78704 | 2020-10-12 |
| 1740802206 | Roots, Aba Therapy and Consulting Services LLC | Behavioral Analyst | 3715 S. 1st St, #464, Austin, TX 78704 | 2020-05-07 |
| 1447896071 | Stefanie Van Hoose Mott | Nurse Practitioner | 2800 South Ih 35 Frontage Road #100, Austin, TX 78704 | 2019-11-19 |
| 1902463219 | Melanie Rabalais Lpc, Pllc | Counselor | 3111 Dickson Dr, Suite 33, Austin, TX 78704 | 2019-05-22 |
| 1023590866 | Roberto Carlos Guerra | Physical Therapy Assistant | 2515 S Ih 35, Ste 320, Austin, TX 78704 | 2018-08-29 |
| 1750875118 | Kristen Gabrielle Ferrante | Dentist | 2330 S Lamar Blvd, Austin, TX 78704 | 2018-06-19 |
| 1366944555 | Beryl Hoelscher | Registered Nurse | 706 W Ben White Blvd Ste 233a, Austin, TX 78704 | 2018-03-02 |
| 1780103861 | Remedy Pediatrics Pllc | Pediatrics | 2512 South Interstate 35 Frontage Rd., Suite 310, Austin, TX 78704 | 2017-09-11 |
| 1285176172 | Leah Nichole Burandt | Physician Assistant | 2512 S Interstate 35 Ste 310, Austin, TX 78704 | 2016-11-09 |
| 1659822690 | Kristin Jarrett | Physical Therapist | 1524 S I-35, Suite 300, Austin, TX 78704 | 2016-10-14 |
| Find all providers in zip 78704 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790313112 | Onyx Counseling and Wellness Center | Clinic/Center | 706 W Ben White Blvd Ste 170, Austin, TX 78704-8124 | 2020-03-31 |
| 1487299756 | Brittney Roberts Psychotherapy, Pllc | Clinic/Center | 5304 Woodrow Ave # A, Austin, TX 78756-2107 | 2019-11-11 |
| 1013474378 | Lara Hernandez Therapy, Pllc | Clinic/Center | 3810 Medical Pkwy Ste 255, Austin, TX 78756-4014 | 2019-02-22 |
| 1760957765 | Bravo Counseling Center, Pllc | Clinic/Center | 3305 Northland Drive, Suite 509, Austin, TX 78731-5039 | 2018-10-06 |
| 1700903861 | Jenan M Salman | Clinic/Center | 2908 Lantana Ridge Dr, Austin, TX 78732-2009 | 2007-03-23 |
| 1609814268 | Merchants of Hope Charities, Inc. | Clinic/Center | 2406 Manor Rd, Austin, TX 78722-2005 | 2006-06-03 |
| 1467068247 | Ample and Rooted Pllc | Clinic/Center | 1700 S Lamar Blvd Ste 338, Austin, TX 78704-3363 | 2020-09-17 |
| 1932722378 | Ellie Rogers Counseling Pllc | Clinic/Center | 1211 Alexander Ave, Austin, TX 78702-2421 | 2020-05-20 |
| 1861015208 | Cassie Segerson Counseling, Pllc | Clinic/Center | 1211 Alexander Ave, Austin, TX 78702-2421 | 2020-05-20 |
| 1053870733 | Solstice Mental Health & Wellness | Clinic/Center | 4005 Spicewood Springs Rd Ste B401, Austin, TX 78759-8680 | 2019-03-13 |
| Find all providers in AUSTIN | ||||
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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.