ELIZABETH DOOSHIMA MABONGA (NPI# 1619487022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619487022 |
| Entity Type | Individual |
| Full Name | ELIZABETH DOOSHIMA MABONGA |
| Credential | MA, LPC |
| Practice Address |
2501 W William Cannon Dr Austin TX 78745-5281 |
| Mailing Address |
2104 Enfield Rd Apt D Austin TX 78703-3222 |
| Practice Telephone | 5123449181 |
| Mailing Telephone | 9033120066 |
| Enumeration Date | 2017-10-11 |
| Last Update Date | 2017-10-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
74336 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TEXAS STATE BOARD OF EXAMINERS OF PROFESSIONAL COUNSELORS | 74336 | 01 |
| Street Address |
2501 W WILLIAM CANNON DR |
| City | AUSTIN |
| State | TX |
| Zip Code | 78745-5281 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902809163 | Sandra Ribbeck | Nurse Practitioner | 2501 W William Cannon Dr, Suite 401, Austin, TX 78745-5253 | 2005-05-23 |
| 1386242386 | Charles Earl Everett IIi | Social Worker | 2501 W William Cannon Dr, Austin, TX 78745-5281 | 2020-10-12 |
| 1720565005 | Benjamin S Johnson | Marriage & Family Therapist | 2501 W William Cannon Dr, Bldg 6 Ste A, Austin, TX 78745 | 2018-07-19 |
| 1609390707 | Ashley L Hall | Physical Therapist | 2501 W William Cannon Dr, Austin, TX 78745-5281 | 2017-07-31 |
| 1407383821 | Rebecca Kalomiris | Social Worker | 2501 W William Cannon Dr, Austin, TX 78745-5281 | 2017-05-16 |
| 1679007165 | Patricia Kirksey | Social Worker | 2501 W William Cannon Dr, Building 6 Suite A, Austin, TX 78745-5281 | 2017-04-12 |
| 1922530740 | Lauren Ryan | Counselor | 2501 W William Cannon Dr, Building 6 Suite A, Austin, TX 78745-5281 | 2017-03-30 |
| 1770027336 | Michelle Zadrozny | Social Worker | 2501 W William Cannon Dr, Building 6 Suite A, Austin, TX 78745-5281 | 2016-12-15 |
| 1407301666 | Toussaint Biondi | Physical Therapist | 2501 W William Cannon Dr, Bldg 1, Ste 102, Austin, TX 78745-5281 | 2016-08-17 |
| 1598127813 | Tricia Jokerst | Counselor | 2501 W William Cannon Dr, Building 6 Suite A, Austin, TX 78745-5281 | 2016-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023617511 | Samantha Lynne Weston | Speech-Language Pathologist | 8515 Brodie Lane, Apt 2011, Austin, TX 78745 | 2020-10-26 |
| 1275172686 | Nithphaphone Tracy Bounsing | Registered Nurse | 4316 James Casey St, Building F, Suite 201, Austin, TX 78745 | 2020-01-02 |
| 1225685712 | Integrative Medical Group of Texas | General Practice | 6905 West Gate Blvd. Ste A, Austin, TX 78745 | 2019-08-20 |
| 1962971499 | Kimberly Angela Mancini | Social Worker | 5015 South Ih 35 Frontage Road, Austin, TX 78745 | 2018-11-14 |
| 1093223885 | Emma Rose Marek | Speech-Language Pathologist | 2700 Norfolk Drive, Austin, TX 78745 | 2018-01-16 |
| 1528586690 | Ashley Ellison | Social Worker | 4201 South Congress, Austin, TX 78745 | 2017-09-08 |
| 1134666761 | Carey Sebera | Counselor | 2812 Goldbridge Dr, Austin, TX 78745 | 2017-01-20 |
| 1932644507 | Maya Conlon | Social Worker | 2501 W. William Cannon Dr., Bldg 6 Ste. A, Austin, TX 78745 | 2017-01-05 |
| 1285189134 | 512 Physical Therapy and Golf Performance Center | Physical Therapist | 6800 Westgate Blvd, Suite 117, Austin, TX 78745 | 2016-08-22 |
| 1326401803 | Chris Winkley | Physical Therapist | 5510 S Ih 35 Frontage Rd #240, Austin, TX 78745 | 2016-04-01 |
| Find all providers in zip 78745 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457951675 | Caitlin R Battell | Counselor | 12805 Hughes St, Austin, TX 78732-1833 | 2020-10-27 |
| 1316546187 | Cathi Heare | Counselor | 1502 Ranch Road 620, Austin, TX 78734-7873 | 2020-10-22 |
| 1104425214 | Paul Lewis Duffy | Counselor | Counseling Services, 1625 Rutherford Ln., Austin, TX 78754 | 2020-10-20 |
| 1366040958 | Grace Wood | Counselor | 1621 E 6th St Apt 2212, Austin, TX 78702-3327 | 2020-10-15 |
| 1871191379 | Alexis Losch | Counselor | 13740 Research Blvd Ste L5, Austin, TX 78750-1833 | 2020-10-15 |
| 1518573880 | Brenda Lee Rodriguez | Counselor | 11001 S 1st St Apt 225, Austin, TX 78748-6765 | 2020-09-21 |
| 1174139794 | Julie Jackson | Counselor | 8208 Farmington Ct, Austin, TX 78736-1744 | 2020-09-18 |
| 1780290494 | Britney Juliane Watson | Counselor | 10701 S Interstate 35 Apt 113, Austin, TX 78747-1777 | 2020-09-17 |
| 1154936235 | David Barrett | Counselor | 2525 Wallingwood Dr Ste 216, Austin, TX 78746-6900 | 2020-09-15 |
| 1669084943 | Lutheran Social Services of The South, Inc. | Counselor | 10601 Derecho Drive, Austin, TX 78737-1013 | 2020-08-19 |
| 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.