Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1790026946 Individual Practitioner Female Practitioner

Mandy Elaine Ethridge , LPC

Counselor - Professional • Belton, TX

Professional Overview & Biography Verified Profile Summary

Mandy Ethridge, LPC is a registered healthcare professional specializing in Counselor - Professional in Belton, TX. Practice services are available at 111 N WALL ST UNIT 1295 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

111 N Wall St Unit 1295

Belton, TX 765130128

Telephone 2545353688
Fax 8007473074

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Belton, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 6.0 Yrs
State Avg: 14.1 Yrs
Regional Practice Density
42 Specialists

Practicing in Belton, TX (21203 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-09-19
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License TX 67716

Definition to come...

Secondary Practice Locations

80 Morgans Point Rd

Belton, TX 765136865

Phone: 2545353688

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Imelda Crothers , LCSW

Social Worker - Clinical

NPI 1982135059

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events
📍
Updated Practice Location September 19, 2024

Registered at 111 N WALL ST UNIT 1295, BELTON, TX 765130128 (Tel: 2545353688)

📍
Updated Business Mailing Address September 19, 2024

Registered at PO BOX 1295, BELTON, TX 765135295 (Tel: 2545353688)

📍
Updated Practice Location November 24, 2021

Registered at 1661 JAMIE, BELTON, TX 765139475 (Tel: 2545353688)

📍
Updated Business Mailing Address November 24, 2021

Registered at 1661 JAMIE, BELTON, TX 76513 (Tel: 2545353688)

NPI Profile Active January 24, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location January 24, 2017

Registered at 2300 S CLEAR CREEK RD, SUITE 205, KILLEEN, TX 765494984 (Tel: 2544157989)

📍
Updated Business Mailing Address January 24, 2017

Registered at PO BOX 10757, KILLEEN, TX 765470757 (Tel: 2544157989)

👤
Provider Name / Credentials Updated January 24, 2017

Recorded as MANDY ETHRIDGE, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 24, 2017

Counselor (License #67716 in TX)

NPI Profile Active March 13, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location March 13, 2013

Registered at 402 N MAIN ST, BELTON, TX 765133165 (Tel: 2549392946)

📍
Updated Business Mailing Address March 13, 2013

Registered at 815 MORGANS POINT RD, BELTON, TX 765136818 (Tel: 2545353688)

👤
Provider Name / Credentials Updated March 13, 2013

Recorded as MANDY ETHRIDGE, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 13, 2013

Counselor (License #67716 in TX)

🟢
Initial NPI Registration & Enumeration March 13, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790026946
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 13, 2013
Last Update: September 19, 2024
Sole Proprietor: Yes

Mailing Address

Po Box 1295

Belton, TX 765135295

Phone: 2545353688

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.