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ANDERSON CHEROKEE COMMUNITY ENRICHMENT SERVICES NPI 1710015201


NPI Information

NPI: 1710015201
Provider Name: ANDERSON CHEROKEE COMMUNITY ENRICHMENT SERVICES

Other Name: ACCESS

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
1011 COLLEGE AVE
JACKSONVILLE, TX
ZIP 75766
Phone: (903) 589-9000
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ANDERSON CHEROKEE COMMUNITY ENRICHMENT SERVICES is a mental health (including community mental health center) clinic center in Jacksonville, TX. ANDERSON CHEROKEE COMMUNITY ENRICHMENT SERVICES NPI is 1710015201. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Access.

The provider's business location address is:

1011 COLLEGE AVE
JACKSONVILLE, TX
ZIP 75766
Phone: (903) 589-9000

The provider's authorized official is Dianna Strom .
The authorized official title is Reimbursement Coordinator and has the following contact phone number (903) 589-9000.

The enumeration date for this NPI number is 2/28/2007 and was last updated on 7/15/2022.


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
1101Y00000XCounselor17029TEXASNo
2101YM0800XCounselorMental Health63332TEXASNo
3101YP2500XCounselorProfessionalNo
4103T00000XPsychologistNo
5163WC1500XRegistered NurseCommunity Health674004TEXASNo
6163WC1500XRegistered NurseCommunity Health618031TEXASNo
7164X00000XLicensed Vocational Nurse051913TEXASNo
82084P0800XPsychiatry & NeurologyPsychiatryH5197TEXASNo
92084P0800XPsychiatry & NeurologyPsychiatryK2150TEXASNo
10261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
11363A00000XPhysician AssistantNo
12363LF0000XNurse PractitionerFamilyNo
13363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
14261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

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
100T09ZOTHERTEXASBLUE CROSS BLUE SHIELD
2111411803MEDICAIDTEXAS

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
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