GULF BEND MHMR CENTER (NPI# 1326017518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326017518 |
| Entity Type | Organization |
| Organization Name | GULF BEND MHMR CENTER |
| Practice Address |
6502 Nursery Dr Suite 100 Victoria TX 77904-1178 |
| Practice Telephone | 3615750611 |
| Practice Fax Number | 3615750626 |
| Mailing Telephone | 3615750611 |
| Mailing Fax Number | 3615750626 |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2010-08-03 |
| Authorized Official Name | MR. DONALD L POLZIN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3615750611 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 163W00000X | Registered Nurse | Nursing Service Providers | ||
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 225C00000X | Rehabilitation Counselor | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 135254404 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720057904 | Gulf Bend Mhmr Center | Counselor | 6502 Nursery Dr, Suite100, Victoria, TX 77904-1178 | 2006-03-17 |
| 1912976101 | Gulf Bend Mhmr Center | Counselor | 6502 Nursery Dr, Suite 100, Victoria, TX 77904-1178 | 2006-03-17 |
| 1346219516 | Gulf Bend Mhmr Center | Counselor | 6502 Nursery Dr, Suite 100, Victoria, TX 77904-1178 | 2006-03-17 |
| Street Address |
6502 NURSERY DR SUITE 100 |
| City | VICTORIA |
| State | TX |
| Zip Code | 77904-1178 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467434399 | Gulf Bend Mental Health Mental Retardation Center | Clinic/Center | 6502 Nursery Dr, Suite 100, Victoria, TX 77904-1178 | 2005-11-16 |
| 1144774860 | Karen Kennemer | Community/Behavioral Health | 6502 Nursery Dr, Victoria, TX 77904-1178 | 2016-08-10 |
| 1457790057 | Sherryl K Sanders | Counselor | 6502 Nursery Dr, Suite 100, Victoria, TX 77904-1178 | 2013-06-18 |
| 1932445855 | Marilyn Joyce Swannack | Counselor | 6502 Nursery Dr, Suite 100, Victoria, TX 77904-1178 | 2012-12-20 |
| 1043591464 | Tracy Dawn Chase | Counselor | 6502 Nursery Dr, Suite 100, Victoria, TX 77904-1178 | 2011-08-30 |
| 1770888596 | Daniel Rodriguez | Counselor | 6502 Nursery Dr, Suite 100, Victoria, TX 77904-1178 | 2011-01-26 |
| 1467648865 | Craig G. Chang, M.d., P.a. | Surgery | 6502 Nursery Dr, Suite 300, Victoria, TX 77904-1178 | 2007-09-19 |
| 1356482996 | Rogers Pharmacy #4 | Pharmacy | 6502 Nursery Dr, Suite 102, Victoria, TX 77904-1178 | 2007-02-08 |
| 1285668541 | Gulf Bend Mrmr Center Hcs Program | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6502 Nursery Dr, Suite 100, Victoria, TX 77904-1178 | 2006-07-10 |
| 1306802814 | Craig Ge-sheng Chang | Surgery | 6502 Nursery Dr, Suite 300, Victoria, TX 77904-1178 | 2006-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528600384 | Bertha P Mendieta | Physician Assistant | Citizens Victoria Surgical Associates, 2705 Hospital Drive Suite 400, Building B, Victoria, TX 77904 | 2019-10-14 |
| 1952968901 | Eliza Welder | Counselor | 6502 Nursery Dr. Suite, Suite 100, Victoria, TX 77904 | 2019-05-24 |
| 1154806529 | Tammy Lynn Hogan | Counselor | 4702 N. Laurent Ste D, Victoria, TX 77904 | 2018-10-01 |
| 1740724939 | Sarah Ritchea | Counselor | 6502 Nursery Dr. Suite 100, Victoria, TX 77904 | 2016-12-07 |
| 1992177489 | World of Words Speech & Feeding Services, LLC | Speech-Language Pathologist | 120 Appaloosa Dr., Victoria, TX 77904 | 2015-10-23 |
| 1396115739 | Katelin Mcvey | Physician Assistant | 106 Springwood Drive, Suite 100, Victoria, TX 77904 | 2015-09-28 |
| 1689070062 | Jeremy M Thompson Dds Ms Pllc | Clinic/Center | 103 Professional Park Driv, Victoria, TX 77904 | 2014-11-12 |
| 1265864144 | Pf Development 23, LLC | Hospice Care, Community Based | 1501 E Mockingbird Ln Ste 301b, Victoria, TX 77904 | 2013-08-02 |
| 1053669762 | Victoria Dentistry, Pllc | Dentist | 8809 North Navarro, Ste.100, Victoria, TX 77904 | 2012-08-28 |
| 1508126442 | Ayo Adu, M.d., Pllc | Family Medicine | 9410 Ne Zac Lentz Parkway, Suite 200, Victoria, TX 77904 | 2012-05-25 |
| Find all providers in zip 77904 | ||||
| Taxonomy Code | 225C00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Counselor |
| An individual trained and educated in a systematic process of assisting persons with physical, mental, developmental, cognitive, and emotional disabilities to achieve their personal, career, and independent living goals assessment and appraisal, diagnosis and treatment planning, career (vocational) counseling, individual and group counseling interventions for adjustments to the medical and psychosocial impact of disability, case management, program evaluation and research, job analysis and placement counseling, and consultation on rehabilitation resources and technology. Certification generally requires a Master’s degree with specialized courses in rehabilitation processes and technology. |
| Notes: Sources: Commission on Rehabilitation Counselor Certification and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356968879 | Gladys Valdez | Rehabilitation Counselor | 2338 Brookhollow Ter, Georgetown, TX 78626-7346 | 2020-06-30 |
| 1487206637 | Patricia Ann Zapata | Rehabilitation Counselor | 502 W Lullwood Ave, San Antonio, TX 78212-2657 | 2019-07-09 |
| 1245724525 | Maria M Barrera | Rehabilitation Counselor | 5115 S Business Highway 281 Ste I, Edinburg, TX 78539-7176 | 2018-06-19 |
| 1619317674 | Mary Kathrine Rae Sumo | Rehabilitation Counselor | 4500 Pear Ridge Dr, 432, Dallas, TX 75287-5228 | 2013-07-04 |
| 1043502958 | Pioneer Mental Health Rehabilitation Services, LLC | Rehabilitation Counselor | 1317 Oakbluff Dr, Lancaster, TX 75146-2107 | 2011-05-10 |
| 1255659991 | Angela Marie Ryan | Rehabilitation Counselor | 4106 Twin Dr E, Santa Fe, TX 77510-3104 | 2010-05-05 |
| 1760624829 | Karen L Malone | Rehabilitation Counselor | 21531 Hickman Manor Ln, Katy, TX 77449-7568 | 2009-04-02 |
| 1275770216 | Jung-ming Wang | Rehabilitation Counselor | 528 Park Ln, Richardson, TX 75081-4276 | 2009-01-13 |
| 1376725341 | Laurie Graham | Rehabilitation Counselor | 3915 South Shaver St, Pasadena, TX 77504 | 2007-12-03 |
| 1497381669 | Catherine Chelsey Philipp | Rehabilitation Counselor | 12301 Main St, Houston, TX 77035-6207 | 2020-03-19 |
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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.