EAST TEXAS MENTAL HEALTH ASSOCIATES
NPI 1083707947
Counselor - Mental Health in Tyler, TX

NPI Status: Active since October 02, 2006

Contact Information

5620 OLD BULLARD RD
SUITE 111
TYLER, TX
ZIP 75703
Phone: (903) 526-7284
Fax: (903) 534-4987

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  • Organization
  • Counselor
  • Mental Health

About EAST TEXAS MENTAL HEALTH ASSOCIATES

This page provides the complete NPI Profile along with additional information for East Texas Mental Health Associates, a provider established in Tyler, Texas operating as a Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1083707947 assigned on October 2006. The practitioner's primary taxonomy code is 101YM0800X with license number 02775 (TX). The provider is registered as an organization and their NPI record was last updated 16 years ago. East Texas Mental Health Associates operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as East Texas Mental Health Associates. The authorized official of this NPI record is Joyce Foreman Shayler Lcsw (Owner)

NPI
1083707947
Provider Legal Name
JOYCE FOREMAN SHAYLER
Other Organization Name
EAST TEXAS MENTAL HEALTH ASSOCIATES
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
5620 OLD BULLARD RD SUITE 111 TYLER, TX 75703
Location Phone
(903) 526-7284
Location Fax
(903) 534-4987
Mailing Address
PO BOX 9684 TYLER, TX 75711
Mailing Phone
(903) 526-7284
Mailing Fax
(903) 534-4987
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-02-2006
Last Update Date
04-06-2009
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A mental health counselor like East Texas Mental Health Associates provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers
License No.
02775
License State
TX

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YP2500XBehavioral Health & Social Service Providers

Counselor
Professional

13460 (TX)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOYCE FOREMAN SHAYLER LCSW

Authorized Official Title
OWNER
Authorized Official Phone
(903) 526-7284

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
00846YMEDICARE ID-TYPE UNSPECIFIED (04)TXGROUP NUMBER

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1083707947
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
201631401498
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 6 + 3 + 1 + 4 + 0 + 1 + 4 + 9 + 8 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1083707947 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1528462223MY SIGNATURE NUTRITION, LLC
Organization
Dietitian, Registered5620 OLD BULLARD RD SUITE 125
TYLER, TX 75703
(903) 312-8906
1649495235EAST TEXAS MENTAL HEALTH ASSOCIATES
Organization
Social Worker (Clinical)5620 OLD BULLARD RD STE 111
TYLER, TX 75703
(903) 526-7284

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083707947, enumerated in the NPI registry as an "organization" on October 02, 2006

The provider is located at 5620 Old Bullard Rd Suite 111 Tyler, Tx 75703 and the phone number is (903) 526-7284

This medical organization specializes in Counselor with taxonomy code 101YM0800X with a focus in Mental Health

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on October 02, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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