CENTRAL COUNTIES CENTER FOR MENTAL HEALTH & MENTAL RETARDATION SRVS (NPI# 1356310585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356310585 |
| Entity Type | Organization |
| Organization Name | CENTRAL COUNTIES CENTER FOR MENTAL HEALTH & MENTAL RETARDATION SRVS |
| Practice Address |
304 S 22nd St Temple TX 76501-4726 |
| Practice Telephone | 2542987000 |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2007-08-22 |
| Authorized Official Name | MR. ELDON TIETJE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2542987007 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 029168401 | 05 | |
| TX | 121984202 | 05 | |
| TX | 121984201 | 05 | |
| TX | 081771001 | 05 | |
| TX | 151116401 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023501939 | Central Counties Center for Mental Health & Mental Retardation Srvs | Family Medicine | 304 S 22nd St, Temple, TX 76501-4726 | 2018-06-14 |
| Street Address |
304 S 22ND ST |
| City | TEMPLE |
| State | TX |
| Zip Code | 76501-4726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053938563 | Daniela Leeann Mills | Counselor | 304 S 22nd St, Temple, TX 76501-4726 | 2020-06-30 |
| 1215579644 | Alyce Williams | Nurse Practitioner | 304 S 22nd St, Temple, TX 76501-4726 | 2019-10-17 |
| 1831755719 | Kimberly Milliken | Counselor | 304 S 22nd St, Temple, TX 76501-4726 | 2019-05-15 |
| 1710442116 | Maureen Elizabeth Lopez | Speech-Language Pathologist | 304 S 22nd St, Temple, TX 76501-4726 | 2019-02-10 |
| 1023501939 | Central Counties Center for Mental Health & Mental Retardation Srvs | Family Medicine | 304 S 22nd St, Temple, TX 76501-4726 | 2018-06-14 |
| 1336641208 | Edward John Kazmir | Nurse Practitioner | 304 S 22nd St, Temple, TX 76501-4726 | 2018-03-06 |
| 1295264901 | Kyle Andrew Mowry | Case Manager/Care Coordinator | 304 S 22nd St, Temple, TX 76501-4726 | 2017-06-06 |
| 1063941797 | Anna Elizabeth Pineda | Psychologist | 304 S 22nd St, Temple, TX 76501-4726 | 2017-06-06 |
| 1255869749 | Raquel Salinas | Social Worker | 304 S 22nd St, Temple, TX 76501-4726 | 2017-05-26 |
| 1558711036 | Kristen Zajicek | Behavioral Analyst | 304 S 22nd St, Temple, TX 76501-4726 | 2016-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437549755 | Modern Psychologist Network LLC | Psychologist | 16 E Avenue A Ste 212, Temple, TX 76501 | 2015-01-24 |
| 1558603852 | Thomas Edward Chamberlain | Pharmacist | 1314 W. Adams Avenue, Temple, TX 76501 | 2013-03-25 |
| 1124300405 | James Devin Dean | Optometrist | 508 W Munroe Ave, Temple, TX 76501 | 2011-09-13 |
| 1700036282 | Melee Munoz | Counselor | 616 N. Main Street Ste. 200, Temple, TX 76501 | 2008-09-22 |
| 1801917315 | Educare Community Living Limited Partnership | Intermediate Care Facility, Mentally Retarded | 5704 Little Flock Rd, Temple, TX 76501 | 2007-04-02 |
| 1245390830 | E Gordon Marshall Jr. | Dentist | 18 South Main, Suite 516, Temple, TX 76501 | 2006-12-12 |
| 1184728362 | Vijay Mehta | Surgery | 1901 Veterans Blvd, Central Texas Veterans Health Care System, Dept Surgery, Temple, TX 76501 | 2006-09-11 |
| 1306807953 | Alisha Jilly Roff | Physician Assistant | 304 S. 22nd Street, Temple, TX 76501 | 2006-03-31 |
| 1952782146 | Matthew Aaron Meece | Family Medicine | 409 W Adams Ave, Temple, TX 76501 | 2015-06-12 |
| 1619136918 | Joshua D Caballero | Pharmacist | 2401 South 31st Street, Dept of Emergency Medicine, Temple, TX 76501 | 2008-06-03 |
| Find all providers in zip 76501 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578189635 | Paul Harvey | Counselor | 712 Brazos Dr, Temple, TX 76504-4923 | 2020-06-24 |
| 1194375022 | Stephanie Morataya | Counselor | 4008 7th Ave, Temple, PA 19560-1910 | 2019-09-12 |
| 1760911127 | Willie Marvin Hutchinson | Counselor | 1017 Highview Court, Temple, PA 19560 | 2017-06-08 |
| 1508295742 | Stephanie Diane Lalouette | Counselor | 100 W Adams Ave Ste 306, Temple, TX 76501-7647 | 2013-11-07 |
| 1356779706 | The Shepherds New Pathways, LLC | Counselor | 5293 S 31st St Ste 137, Temple, TX 76502-3575 | 2013-10-22 |
| 1487906665 | Michael David Potter | Counselor | 3513 Sw H K Dodgen Loop, Suite Number 106, Temple, TX 76502-8009 | 2012-10-11 |
| 1346512142 | Misti Dawn Wetzel | Counselor | 2010 Sw H K Dodgen Loop Ste 211, Temple, TX 76504-7057 | 2012-02-08 |
| 1750608014 | Kristy Dawn Drummond | Counselor | 305 Carrollton St, Temple, GA 30179-3796 | 2010-04-27 |
| 1700049962 | Cotina Houston Stroud | Counselor | 805 Windy Mill Ct, Temple, GA 30179-5437 | 2008-07-08 |
| 1437325529 | Amy Eileen Casey | Counselor | Scott & White Mental Health Clinic, 2401 South 31st Street, Temple, TX 76508-0001 | 2008-05-07 |
| Find all providers in TEMPLE | ||||
Please comment or provide details below to improve the information on CENTRAL COUNTIES CENTER FOR MENTAL HEALTH & MENTAL RETARDATION SRVS.
| 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.