Active NPI 1124313432 Individual Practitioner Female Practitioner

Mindy Block Bacchus , LPC

Counselor - Professional • Georgetown, TX

Professional Overview & Biography Verified Profile Summary

Mindy Bacchus, LPC is a registered healthcare professional specializing in Counselor - Professional in Georgetown, TX. Practice services are available at 404 W 9TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

404 W 9th St
Suite 104

Georgetown, TX 786265543

Telephone 5128645911

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Georgetown, TX

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 14.4 Yrs

State Avg: 14.1 Yrs

Regional Practice Density

111 Specialists

Practicing in Georgetown, TX (21203 Statewide)

Telehealth Adoption Rate

1.8% 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

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License TX 63473

Definition to come...

Practice Associates & Co-Workers

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

5 Associated Practitioners

Dana Ritchie

Licensed Practical Nurse

NPI 1184298028

Elise Salter , RN

Registered Nurse

NPI 1326931304

Registered Nurse

Amanda Stark , BSN, RN

Registered Nurse

NPI 1366915597

Bachelor of Science in Nursing, Registered Nurse

Isaiah Reeves , LPN

Licensed Practical Nurse

NPI 1528984010

Licensed Practical Nurse

Sasha Pierce , LPN

Licensed Practical Nurse

NPI 1639045008

Licensed Practical Nurse

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active June 14, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location June 14, 2011

Registered at 404 W 9TH ST, SUITE 104, GEORGETOWN, TX 786265543 (Tel: 5128645911)

📍

Updated Business Mailing Address June 14, 2011

Registered at 404 W 9TH ST, SUITE 104, GEORGETOWN, TX 786265543

👤

Provider Name / Credentials Updated June 14, 2011

Recorded as MINDY BACCHUS, LPC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 14, 2011

Counselor (License #63473 in TX)

🟢

Initial NPI Registration & Enumeration June 14, 2011

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: 1124313432

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 14, 2011

Last Update: June 14, 2011

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

404 W 9th St, Suite 104

Georgetown, TX 786265543

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.