PINEY WOODS PSYCHOLOGICAL SERVICES
NPI 1225351794
Psychologist - Clinical in Nacogdoches, TX

Active since March 11, 2010
518 E HOSPITAL STREET, NACOGDOCHES, TX 75961(936) 462-8577(936) 228-9072 Get Directions Write a Review

NPPES record last updated: June 15, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Piney Woods Psychological Services NPPES

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

PINEY WOODS PSYCHOLOGICAL SERVICES (NPI 1225351794) is a healthcare organization registered as a clinical in Nacogdoches, Texas and active in the NPI registry since March 2010. The organization lists Sydney Kroll Register, Owner, as its authorized official.

NPPES Registry Identity

NPI1225351794
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameGEORGETOWN PSYCHOTHERAPY, PLLC
Location Address518 E HOSPITAL STREETNacogdoches, TX 75961
Mailing Address518 E Hospital StreetNacogdoches, TX 75961 · (936) 462-8577 · Fax (936) 228-9072
Fax(936) 228-9072
Organization SubpartNo
Authorized OfficialSydney Kroll RegisterOwner · (936) 462-8577
Enumeration DateMarch 11, 2010
Last NPPES UpdateJune 15, 2021
NPPES CertifiedJune 15, 2021
✔ NPI 1225351794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in TX · 34032
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
518 E HOSPITAL STREET, Nacogdoches, TX 75961

Other Names 1

Doing Business AsPiney Woods Psychological Services

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Piney Woods Psychological Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateTexasEnrollment IDO20100422000580Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Piney Woods Psychological Services, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Clinical Social Worker
NPI 1629645155
518 E HOSPITAL ST
Nacogdoches, TX 75961
(936) 645-1090
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1467638825
518 E HOSPITAL ST
Nacogdoches, TX 75961
(936) 462-8577
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Georgetown Psychotherapy, PLLC's NPI number?

The NPI number for Georgetown Psychotherapy, PLLC is 1225351794. It was assigned to this organization in the NPPES registry on March 11, 2010. The provider is doing business as Piney Woods Psychological Services.

Where is Georgetown Psychotherapy, PLLC located?

Georgetown Psychotherapy, PLLC is located at 518 E Hospital Street, Nacogdoches, TX 75961. The listed phone number is (936) 462-8577.

What is Georgetown Psychotherapy, PLLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Georgetown Psychotherapy, PLLC enrolled in Medicare?

Yes. Georgetown Psychotherapy, PLLC is registered in the Medicare PECOS enrollment system.

When is Georgetown Psychotherapy, PLLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Georgetown Psychotherapy, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Georgetown Psychotherapy, PLLC, in Clinical Psychologist and Clinical Social Worker. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Georgetown Psychotherapy, PLLC accept?

Health plans from Blue Cross and Blue Shield of Texas list Georgetown Psychotherapy, PLLC 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 Georgetown Psychotherapy, PLLC was last updated on June 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.