Provider Demographics
NPI:1609969815
Name:COUNSELING & CARE, PC
Entity Type:Organization
Organization Name:COUNSELING & CARE, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:H
Authorized Official - Last Name:MATOSKY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, LPA, LCCA
Authorized Official - Phone:361-215-5877
Mailing Address - Street 1:3025 QUAIL SPRINGS RD APT D3
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78414-3706
Mailing Address - Country:US
Mailing Address - Phone:361-215-5877
Mailing Address - Fax:800-745-2060
Practice Address - Street 1:5151 FLYNN PKWY STE 412B
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-4367
Practice Address - Country:US
Practice Address - Phone:361-215-5877
Practice Address - Fax:800-745-2060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16780101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1731283-01Medicaid
TX3747773OtherCIGNA BEHAVIORAL HEALTH
TX84587LOtherBLUE CROSS/BLUE SHIELD
TX493233OtherVALUE OPTIONS AND TRICARE
TX263724OtherCOMPSYCH
TX5678237OtherFIRST HEALTH
TX10013368OtherAMERIGROUP
TX369025OtherMHN AND MHN TRICARE