SOUTHEAST TEXAS CHILD GUIDANCE CENTER, PLLC
NPI 1861761017
Counselor - Mental Health in Beaumont, TX
About Southeast Texas Child Guidance Center, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHEAST TEXAS CHILD GUIDANCE CENTER, PLLC (NPI 1861761017) is a healthcare organization registered as a mental health in Beaumont, Texas and active in the NPI registry since December 2011. The organization lists Ravikumar Kanneganti, Owner/director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Southeast Texas Child Guidance Center, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Southeast Texas Child Guidance Center, PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Southeast Texas Child Guidance Center, PLLC's NPI number?
The NPI number for Southeast Texas Child Guidance Center, PLLC is 1861761017. It was assigned to this organization in the NPPES registry on December 16, 2011.
Where is Southeast Texas Child Guidance Center, PLLC located?
Southeast Texas Child Guidance Center, PLLC is located at 3250 Medical Center Dr, Beaumont, TX 77701. The listed phone number is (409) 813-1765.
What is Southeast Texas Child Guidance Center, PLLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Southeast Texas Child Guidance Center, PLLC enrolled in Medicare?
Yes. Southeast Texas Child Guidance Center, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southeast Texas Child Guidance Center, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to Southeast Texas Child Guidance Center, PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Southeast Texas Child Guidance Center, PLLC accept?
Health plans from WellPoint list Southeast Texas Child Guidance Center, 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 Southeast Texas Child Guidance Center, PLLC was last updated on May 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Southeast Texas Child Guidance Center, Pllc · NPI 1861761017
Mental Health organization in Beaumont, Texas. Organization record, active in the CMS NPPES registry since December 16, 2011.
## Identity
- **NPI:** 1861761017 (Entity type: Organization)
- **Enumerated:** December 16, 2011
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Organization subpart:** No
- **Authorized official:** Ravikumar Kanneganti, OWNER/DIRECTOR
## Practice location
- **Address:** 3250 MEDICAL CENTER DR, Beaumont, TX 77701-4627
- **Phone:** (409) 813-1765 · **Fax:** (409) 813-1875
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Psychiatry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 5, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1861761017) · Data from the CMS NPPES public registry.