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Imani N Rouse , LCDC INTERN

Social Worker β€’ Sachse, TX

Active NPI 1073155982 Individual Practitioner Female Practitioner
Practice location in NPPES

6406 Highway 78 Ste 108
Sachse, TX 750483276

Call 4695849675 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

6406 Highway 78 Ste 108

Sachse, TX 750483276

Telephone 4695849675
Organization at the Same NPPES Address or Phone
Harbinger Of Hope Marriage & Family Therapy Services, Pllc Facility NPI 1063054989

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Sachse and Texas

2 active clinicians are listed under Social Worker with a practice address in Sachse, TX (3,656 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-10-28
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

License # reported to NPPES TX 107100

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Cash Pay
000 (TX)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ“
Updated Practice Location October 28, 2022

Registered at 6406 HIGHWAY 78 STE 108, SACHSE, TX 750483276 (Tel: 4695849675)

βœ…
NPI Profile Active October 11, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 11, 2019

Registered at 8641 5TH ST STE E6, FRISCO, TX 750344290 (Tel: 9402684022)

πŸ“
Business Mailing Address (Initial Record) October 11, 2019

Registered at PO BOX 3291, WICHITA FALLS, TX 763010291

πŸ‘€
Provider Name / Credentials (Initial Record) October 11, 2019

Recorded as IMANI ROUSE, LCDC INTERN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 11, 2019

Counselor

🟒
Initial NPI Registration & Enumeration October 11, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1073155982
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 11, 2019
Last Update: October 28, 2022
Sole Proprietor: No

Mailing Address

Po Box 3291

Wichita Falls, TX 763010291

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.