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BLUEBONNET TRAILS COMMUNITY MHMR CENTER NPI 1023150877


NPI Information

NPI: 1023150877
Provider Name: BLUEBONNET TRAILS COMMUNITY MHMR CENTER
Classification: Case Manager/Care Coordinator - 171M00000X
Entity Type: Organization
Address:
1009 N GEORGETOWN ST
ROUND ROCK, TX
ZIP 78664
Phone: (512) 255-1720
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BLUEBONNET TRAILS COMMUNITY MHMR CENTER is a case manager care coordinator in Round Rock, TX. The provider is a person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. BLUEBONNET TRAILS COMMUNITY MHMR CENTER NPI is 1023150877. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1009 N GEORGETOWN ST
ROUND ROCK, TX
ZIP 78664-289
Phone: (512) 255-1720
Fax: (512) 244-8371

The provider's authorized official is Noralisa Williams .
The authorized official title is Credentialing Coordinator and has the following contact phone number (512) 244-8374.

The enumeration date for this NPI number is 2/12/2007 and was last updated on 8/28/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WP0808XRegistered NursePsychiatric/Mental HealthNO LICENSETEXASNo
2163WP0809XRegistered NursePsychiatric/Mental Health, AdultNO LICESETEXASNo
3164X00000XLicensed Vocational NurseNO LICENSETEXASNo
4171R00000XInterpreterNO LICENSETEXASNo
52084P0800XPsychiatry & NeurologyPsychiatryNO LICENSETEXASNo
6363LA2200XNurse PractitionerAdult HealthNO LICENSETEXASNo
7363LP0808XNurse PractitionerPsychiatric/Mental HealthNO LICENSETEXASNo
8171M00000XCase Manager/Care CoordinatorNO LICENSETEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11268443 05MEDICAIDTEXAS
21268443 02MEDICAIDTEXAS
30197201 01MEDICAIDTEXAS
41268443 04MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.