Individual provider Active NPI

Nicole Eberle, LPC, NCC

  • Professional Counselor
  • Frisco, TX
National Provider Identifier
1013422468
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
69277 Issued in TX
Practice address
8072 Preston Rd Ste 204
Frisco, TX 75034-0334
Phone
(214) 618-2225
Fax
(214) 618-8045
NPI assigned
Dec 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 69277 TX Primary

Addresses

Primary practice location

8072 Preston Rd Ste 204
Frisco, TX 75034-0334

Mailing address

1019 Irion Dr
Euless, TX 76039-3332
Phone (817) 721-8344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240104001698 TX Practitioner - Mental Health Counselor 2365893344 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychiatric Associates of North Texas PAGroup PAC ID 6901074541, 2 clinicians

Practice addresses (Care Compare)

8072 Preston Rd
Suite 204
Frisco, TX 75034-0334
Phone (214) 618-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatric Associates of North Texas PA CurrentSince Jan 1, 2024 Accepting new patients

Locations

8072 Preston Rd
Ste 204
Frisco, TX 75034
Phone (214) 618-2225

6351 Preston Rd
Ste 205
Frisco, TX 75034
Phone (214) 618-2225

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1512604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1013422468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 IRION DR",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760393332",
            "telephone_number": "817-721-8344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8072 PRESTON RD STE 204",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750340334",
            "telephone_number": "214-618-2225",
            "fax_number": "214-618-8045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBERLE",
        "first_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-07",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "69277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.