MRS. MARTHA MARTINEZL CHICHIL-ZEPEDA


Address: 650 Scarbourough, Canyon Lake, TX 78133-4529
Phone: 8309644390

MRS. MARTHA MARTINEZL CHICHIL-ZEPEDA (NPI# 1902354657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902354657
Entity Type Individual
Full Name MRS. MARTHA MARTINEZL CHICHIL-ZEPEDA
Credential LPC
Practice Address 650 Scarbourough
Canyon Lake
TX 78133-4529
Practice Telephone 8309644390
Practice Fax Number 8309644391
Mailing Telephone 8309644390
Mailing Fax Number 8309644391
Enumeration Date 2016-09-12
Last Update Date 2016-09-12
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 322D00000X Residential Treatment Facility, Emotionally Disturbed Children 69514 TX Residential Treatment Facilities

Office Location

Street Address 650 SCARBOUROUGH
City CANYON LAKE
State TX
Zip Code 78133-4529

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538203484 Lutheran Social Services of The South, Inc. Residential Treatment Facility, Emotionally Disturbed Children 650 Scarbourough, Canyon Lake, TX 78133-4529 2007-02-16
1548887680 Kimberley Dawn Wood Counselor 650 Scarbourough, Canyon Lake, TX 78133-4529 2020-07-05
1619511581 Camille Mari Coffey Counselor 650 Scarbourough, Canyon Lake, TX 78133-4529 2019-11-04
1457823734 Clinton R Gholson Counselor 650 Scarbourough, Canyon Lake, TX 78133-4529 2018-12-26
1184145468 Delaney Paige Bloemke Social Worker 650 Scarbourough, Canyon Lake, TX 78133-4529 2017-06-27
1285154328 Lorena L Peaslee Counselor 650 Scarbourough, Canyon Lake, TX 78133-4529 2017-06-20
1407394075 Elizabeth Rose Aleman Social Worker 650 Scarbourough, Canyon Lake, TX 78133-4529 2017-02-03
1679016646 Reanna Nicole Pena Counselor 650 Scarbourough, Canyon Lake, TX 78133-4529 2016-11-23
1235489949 Claire Finch Social Worker 650 Scarbourough, Canyon Lake, TX 78133-4529 2012-09-11
1932418639 Barbara Gadient Counselor 650 Scarbourough, Canyon Lake, TX 78133-4529 2010-09-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891309571 Amanda Mills Registered Nurse 1811 Montview, Canyon Lake, TX 78133 2020-09-01
1104301902 Jannah Holley Vise Acupuncturist 190 Crazy Horse Trail, Canyon Lake, TX 78133 2018-09-27
1023480555 Brookshire Brothers Inc Pharmacy 18275 Fm 306, Canyon Lake, TX 78133 2015-10-23
1154440873 Jose P. Morin Specialist/Technologist, Other 623 Marlys Ave, Canyon Lake, TX 78133 2007-03-28
1619059060 Brandon Grimm D.c. P.a. Chiropractor 14812 South Access Road, Canyon Lake, TX 78133 2006-10-19
1649543455 Jeffrey Quentin Harper Chiropractor 1742 Fm 2673, Canyon Lake, TX 78133 2012-02-10
1225348048 Hill Country Surgical Assistants Specialist/Technologist, Other 623 Marlys Ave, Canyon Lake, TX 78133 2010-10-14
1376554253 Don Coleman Rehabilitation Practitioner 111 Toye Blvd, Canyon Lake, TX 78133 2006-08-10
1063943041 Windmill Wellness Ranch LLC Substance Abuse Rehabilitation Facility 26229 N Cranes Mill Rd, Canyon Lake, TX 78133-1957 2017-03-22
1174143051 Joseph Lee Kastigar Peer Specialist 26229 N Cranes Mill Rd, Canyon Lake, TX 78133-1957 2020-04-21
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Taxonomy Information

Taxonomy Code 322D00000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Emotionally Disturbed Children

Taxonomy Definition

A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment.
Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538203484 Lutheran Social Services of The South, Inc. Residential Treatment Facility, Emotionally Disturbed Children 650 Scarbourough, Canyon Lake, TX 78133-4529 2007-02-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1063030054 Life's Purpose Residential Treatment Facility, Emotionally Disturbed Children 1211 Lark Ln, Richmond, TX 77469-7803 2020-07-07
1588293112 Angelica Marie Griffin Residential Treatment Facility, Emotionally Disturbed Children 12500 Shadowglen Trace 3204, Manor, TX 78653 2020-04-06
1639702236 The Landing At Corpus Christi Residential Treatment Facility, Emotionally Disturbed Children 2058 Fm 665, Corpus Christi, TX 78415 2020-02-21
1083158943 Pinnacle Hc LLC Residential Treatment Facility, Emotionally Disturbed Children 980 S Coit Rd, 1322, Prosper, TX 75078-2989 2016-12-12
1932558517 The Eunice House, LLC Residential Treatment Facility, Emotionally Disturbed Children 1114 Watson Crossing Way, Houston, TX 77067-1627 2016-06-06
1033577119 2nd Chanze Organization Residential Treatment Facility, Emotionally Disturbed Children 27102 Breton Bridge Ct, Cypress, TX 77433-7552 2016-02-04
1780073452 Oyin'da LLC Residential Treatment Facility, Emotionally Disturbed Children 5551 Latta Plantation Dr, Katy, TX 77449-1557 2015-01-17
1376883322 Angels With Open Arms Residential Treatment Facility, Emotionally Disturbed Children 6435 Tumbling Creek Trl, Dallas, TX 75241-5915 2013-02-27
1316201981 Treathem, Inc. Residential Treatment Facility, Emotionally Disturbed Children 2904 1st St, Bay City, TX 77414-6828 2012-06-28
1588939532 Turning Point Children's Social Services Residential Treatment Facility, Emotionally Disturbed Children 2224 Spring Creek Dr, Spring, TX 77373-6138 2012-03-08
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Competitor

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City CANYON LAKE
Zip Code 78133

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Dataset Information

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.

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