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DESIREA L SENIOR BODIFORD LPC
NPI 1124704689
Counselor - Professional in San Angelo, TX

Active since June 27, 2023PECOS EnrolledAccepts Medicare Assignment
36 E TWOHIG AVE STE 600, SAN ANGELO, TX 76903(325) 944-2561(325) 653-4218 Get Directions Write a Review

NPPES record last updated: October 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 8, 2024, Jun 10, 2024 (2 updates tracked since 2024).

About Desirea L Senior Bodiford Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DESIREA L SENIOR BODIFORD LPC (NPI 1124704689) is an individual professional provider in San Angelo, Texas, licensed in Texas (84337) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1124704689
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameDESIREA L SENIOR BODIFORDCredential: LPC
Location Address36 E TWOHIG AVE STE 600San Angelo, TX 76903-6433
Mailing Address36 E Twohig Ave Ste 600San Angelo, TX 76903-6433 · (325) 944-2561 · Fax (325) 653-4218
Phone(325) 944-2561
Fax(325) 653-4218
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 27, 2023
Last NPPES UpdateOctober 8, 20242 updates tracked since enumeration
NPPES CertifiedOctober 8, 2024
✔ NPI 1124704689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in TX · 84337
36 E TWOHIG AVE STE 600, San Angelo, TX 76903
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Desirea L Senior Bodiford Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254789811
PECOS Enrollment IDI20240216001234
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASHLEY MCCLEAF LMSW
Social Worker (Clinical)
36 E TWOHIG AVE STE 600
SAN ANGELO, TX 76903
Tom Green County (325) 944-2561
JONI BETH ABEL LMSW
Social Worker (Clinical)
36 E TWOHIG AVE STE 600
SAN ANGELO, TX 76903
Tom Green County (325) 944-2561
WEST TEXAS COUNSELING & GUIDANCE INC
Counselor (Mental Health)
36 E TWOHIG AVE STE 600
SAN ANGELO, TX 76903
Tom Green County (325) 944-2561
MICAELA MORENO LPC-A
Counselor
36 E TWOHIG AVE STE 600
SAN ANGELO, TX 76903
Tom Green County (325) 944-2561
KLAYE R COLEMAN LCSW
Social Worker (Clinical)
36 E TWOHIG AVE STE 600
SAN ANGELO, TX 76903
Tom Green County (325) 944-2561
ALLISON A CUTSINGER LCSW
Social Worker (Clinical)
36 E TWOHIG AVE STE 600
SAN ANGELO, TX 76903
Tom Green County (325) 944-2561
KRISTIN NICOLE CARNEY LPC
Counselor (Professional)
36 E TWOHIG AVE STE 600
SAN ANGELO, TX 76903
Tom Green County (325) 944-2561
MS. LISA J SOBRERO
Counselor (Professional)
36 E TWOHIG AVE STE 600
SAN ANGELO, TX 76903
Tom Green County (325) 944-2561

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Desirea Senior Bodiford's NPI number?

The NPI number for Desirea Senior Bodiford is 1124704689. It was assigned to this individual provider in the NPPES registry on June 27, 2023.

Where is Desirea Senior Bodiford located?

Desirea Senior Bodiford practices at 36 E Twohig Ave Ste 600, San Angelo, TX 76903. The listed phone number is (325) 944-2561.

What is Desirea Senior Bodiford's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Desirea Senior Bodiford enrolled in Medicare?

Yes. Desirea Senior Bodiford is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Desirea Senior Bodiford accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Desirea Senior Bodiford as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Desirea Senior Bodiford was last updated on October 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.