HEART OF TEXAS REGION MENTAL HEALTH MENTAL RETARDATION CENTER
NPI 1952485195
Clinic/Center - Adolescent and Children Mental Health in Waco, TX
NPI Status: Active since October 24, 2006
Contact Information
1105 JEFFERSON AVE
WACO, TX
ZIP 76701
Phone: (254) 752-7889
Fax: (254) 752-7899
- Organization
- Clinic/Center
- Adolescent and Children Mental Health
About HEART OF TEXAS REGION MENTAL HEALTH MENTAL RETARDATION CENTER
This page provides the complete NPI Profile along with additional information for Heart Of Texas Region Mental Health Mental Retardation Center, a provider established in Waco, Texas operating as a Clinic/center, focusing in adolescent and children mental health . The healthcare provider is registered in the NPI registry with number 1952485195 assigned on October 2006. The practitioner's primary taxonomy code is 261QM0855X with license number 2007020591 (TX). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Mr. Daniel Thompson (Executive Director)
- NPI
- 1952485195
- Provider Name
- HEART OF TEXAS REGION MENTAL HEALTH MENTAL RETARDATION CENTER
- Entity Type
- Organization
- Location Address
- 1105 JEFFERSON AVE WACO, TX 76701
- Location Phone
- (254) 752-7889
- Location Fax
- (254) 752-7899
- Mailing Address
- 110 S 12TH ST P O BOX 890 WACO, TX 76701
- Mailing Phone
- (254) 752-3451
- Mailing Fax
- (254) 752-7899
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-24-2006
- Last Update Date
- 03-05-2020
- Code Navigator
Location Map
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
Clinic/Center Adolescent and Children Mental Health
- Taxonomy Code
- 261QM0855X
- Type
- Ambulatory Health Care Facilities
- License No.
- 2007020591
- License State
- TX
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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.
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 |
|---|---|---|---|
| 111409202 | MEDICAID (05) | TX |
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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. | |||||||||
| 1 | 9 | 5 | 2 | 4 | 8 | 5 | 1 | 9 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 10 | 2 | 8 | 8 | 10 | 1 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 1 + 0 + 2 + 8 + 8 + 1 + 0 + 1 + 1 + 8 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1952485195 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 14 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1073739546 | ELIZABETH A BURNETT LCSW Individual | Social Worker (Clinical) | 1105 JEFFERSON AVE WACO, TX 76701 (254) 752-7889 |
| 1871719492 | DALLAS ELDEN SMELTSER JR. LPC Individual | Counselor (Professional) | 1105 JEFFERSON AVE WACO, TX 76701 (254) 752-7889 |
| 1336366830 | VIVIAN L STIDVENT LPC Individual | Counselor (Professional) | 1105 JEFFERSON AVE WACO, TX 76701 (254) 752-7889 |
| 1275718223 | DIAMANTE MAYA Individual | Social Worker (Clinical) | 1105 JEFFERSON AVE WACO, TX 76701 (254) 297-7000 |
| 1942770870 | KATRINA CHADWELL Individual | Counselor | 1105 JEFFERSON AVE WACO, TX 76701 (254) 297-7000 |
| 1730741422 | JORDYN D LOCKHART Individual | Counselor (Professional) | 1105 JEFFERSON AVE WACO, TX 76701 (254) 752-3451 |
| 1861860892 | HEART OF TEXAS REGION MENTAL HEALTH MENTAL RETARDATION CENTER Organization | Clinic/Center (Rehabilitation, Substance Use Disorder) | 1105 JEFFERSON AVE WACO, TX 76701 (254) 752-7889 |
| 1033602438 | KELLI KING GUERRERO Individual | Social Worker (Clinical) | 1105 JEFFERSON AVE WACO, TX 76701 (254) 752-3451 |
| 1801415856 | JAYME FUNDERBURK LPC Individual | Counselor (Professional) | 1105 JEFFERSON AVE WACO, TX 76701 (254) 752-3451 |
| 1194329979 | STACY VELASQUEZ SLP Individual | Speech-Language Pathologist | 1105 JEFFERSON AVE WACO, TX 76701 (254) 752-3451 |
| 1013680636 | JAMES WILLIE HARRISON LPC Individual | Counselor (Professional) | 1105 JEFFERSON AVE WACO, TX 76701 (254) 752-7889 |
| 1750055158 | ERIN KINSEY KENNEDY Individual | Counselor (Professional) | 1105 JEFFERSON AVE WACO, TX 76701 (254) 752-7889 |
| 1366205924 | COLLEEN DUCKLOW APRN-CNP Individual | Nurse Practitioner (Psychiatric/Mental Health) | 1105 JEFFERSON AVE WACO, TX 76701 (254) 752-7889 |
| 1215775176 | KRISTEN RENEE ARCHULETA LCSW Individual | Social Worker (Clinical) | 1105 JEFFERSON AVE WACO, TX 76701 (254) 752-7889 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1952485195, enumerated in the NPI registry as an "organization" on October 24, 2006
The provider is located at 1105 Jefferson Ave Waco, Tx 76701 and the phone number is (254) 752-7889
This medical organization specializes in Clinic/Center with taxonomy code 261QM0855X with a focus in Adolescent and Children 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 24, 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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