1. Home
  2. Directory
  3. Texas
  4. Belton
  5. Counselor
  6. NPI Profile

MANDY ELAINE ETHRIDGE LPC
NPI 1790026946
Counselor - Professional in Belton, TX

Active since March 13, 2013PECOS Enrolled
111 N WALL ST UNIT 1295, BELTON, TX 76513(254) 535-3688(800) 747-3074 Get Directions Write a Review

NPPES record last updated: September 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 19, 2024, Nov 24, 2021, Jan 24, 2017 (3 updates tracked since 2017).

About Mandy Elaine Ethridge Lpc NPPES

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

MANDY ELAINE ETHRIDGE LPC (NPI 1790026946) is an individual professional provider in Belton, Texas, licensed in Texas (67716) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS and maintains a secondary practice location in Belton.

NPPES Registry Identity

NPI1790026946
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMANDY ELAINE ETHRIDGECredential: LPC
Location Address111 N WALL ST UNIT 1295Belton, TX 76513-0128
Mailing AddressPo Box 1295Belton, TX 76513-5295 · (254) 535-3688 · Fax (800) 747-3074
Phone(254) 535-3688
Fax(800) 747-3074
Sole ProprietorYes
Enumeration DateMarch 13, 2013
Last NPPES UpdateSeptember 19, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2024
✔ NPI 1790026946 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 · 67716
111 N WALL ST UNIT 1295, Belton, TX 76513
Open in Google Maps ↗

Secondary Practice Location 1

Location 180 Morgans Point RdBelton, TX 76513-6865 · Phone (254) 535-3688

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mandy Elaine Ethridge Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Mandy Ethridge's NPI number?

The NPI number for Mandy Ethridge is 1790026946. It was assigned to this individual provider in the NPPES registry on March 13, 2013.

Where is Mandy Ethridge located?

Mandy Ethridge practices at 111 N Wall St Unit 1295, Belton, TX 76513. The listed phone number is (254) 535-3688.

What is Mandy Ethridge's specialty?

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

Is Mandy Ethridge enrolled in Medicare?

Yes. Mandy Ethridge is registered in the Medicare PECOS enrollment system.

What insurance does Mandy Ethridge accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas and UnitedHealthcare list Mandy Ethridge 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 Mandy Ethridge was last updated on September 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.