ROSE M REDIX (NPI# 1700892122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700892122 |
| Entity Type | Individual |
| Full Name | ROSE M REDIX |
| Other Name | ROSE M REDIX |
| Credential | LPC |
| Practice Address |
303 Jamiston St Texarkana TX 75501-1842 |
| Practice Telephone | 9033060468 |
| Practice Fax Number | 9033060468 |
| Mailing Telephone | 9033060468 |
| Mailing Fax Number | 9033060468 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2015-01-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
16991 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 144267504 | 05 | |
| TX | BLUE CROSS BLUE SHIELD | 83769L | 01 |
| Street Address |
303 JAMISTON ST |
| City | TEXARKANA |
| State | TX |
| Zip Code | 75501-1842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396168878 | Gayla Cranford | Case Manager/Care Coordinator | 303 Jamiston St, Texarkana, TX 75501-1842 | 2014-02-04 |
| 1396187324 | The Lighthouse Group | Case Management | 303 Jamiston St, Texarkana, TX 75501-1842 | 2013-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598227951 | Shayla Lasonde Williams | Licensed Vocational Nurse | 409 Tracey Ave, Wake Village, TX 75501 | 2019-04-04 |
| 1861900904 | Tiffany Anne Baugus | Nurse Practitioner | 2600 St. Michael Drive, Texarkana, TX 75501 | 2018-01-10 |
| 1104363258 | Brent Willis | Nurse Anesthetist, Certified Registered | 203 La Grange Dr., Texarkana, TX 75501 | 2017-01-27 |
| 1154627644 | Patricia Maree Baker | Counselor | 1001 Texas Blvd., Suite 106, Texarkana, TX 75501 | 2011-02-01 |
| 1730323452 | William Leonard | Occupational Therapy Assistant | 2108 5th Street, Bridgeport, TX 75501 | 2009-04-24 |
| 1700071552 | Roger House Md, Psychiatric Services | Case Management | 2401 Summerhill Rd., Suite A, Texarkana, TX 75501 | 2007-09-13 |
| 1134248271 | Brent Bultemeier Pa | Chiropractor | 3207 New Boston Road, Texarkana, TX 75501 | 2007-03-28 |
| 1346395977 | Sharon E. Moore | Registered Nurse | Youree Drive, Shreveport, LA 75501 | 2007-01-24 |
| 1962553024 | Leary Independent School District | Local Education Agency (LEA) | 9500 W. New Boston Rd, Texarkana, TX 75501 | 2007-01-16 |
| 1780787390 | Christina Michelle Griffin | Physical Therapist | 1315 Walnut, Temple Memorial Rehabiliation Ctr, Texarkana, TX 75501 | 2006-09-07 |
| Find all providers in zip 75501 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548818677 | Karen Cannon | Counselor | 16 Bill Rogers Dr, Texarkana, TX 75503-1864 | 2019-09-02 |
| 1760901821 | In The Meantime Counseling | Counselor | 216 Olive St Ste 203, Texarkana, AR 71854-5932 | 2017-09-10 |
| 1477008845 | Melissa Davison | Counselor | 3802 Sylvia Dr, Texarkana, TX 75503-0878 | 2016-08-16 |
| 1750762696 | Michelle K Scott | Counselor | 1911 Galleria Oaks Dr, Texarkana, TX 75503-4617 | 2015-06-16 |
| 1154627644 | Patricia Maree Baker | Counselor | 1001 Texas Blvd., Suite 106, Texarkana, TX 75501 | 2011-02-01 |
| 1598068827 | Lee R. Staats | Counselor | 2401 Summerhill Rd Ste A, Texarkana, TX 75501-3570 | 2010-12-08 |
| 1114251840 | Koons Professional Counseling, Inc. | Counselor | 44 Timberlane St, Texarkana, TX 75501-9521 | 2009-09-29 |
| 1235462987 | Karrah Daines Dickeson | Counselor | 3110 Pine St, Texarkana, TX 75503-4042 | 2009-09-14 |
| 1558540484 | Melinda Diane Jewell | Counselor | 3220 Jewell St, Texarkana, AR 71854-5815 | 2007-10-27 |
| 1427253491 | Bobbie Jean Watson | Counselor | 309 County Road 2311, Texarkana, TX 75503-6313 | 2007-06-19 |
| Find all providers in TEXARKANA | ||||
Please comment or provide details below to improve the information on ROSE M REDIX.
| 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.