Individual provider Active NPI

Cynthia Diana Villacorta Sebran, LPC

  • Professional Counselor
  • Plano, TX
National Provider Identifier
1013585686
Registry record updated Jun 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
78507 Issued in TX
Practice address
5228 Village Creek Dr Ste 100
Plano, TX 75093-4430
Phone
(972) 913-4738
Fax
(469) 666-8197
NPI assigned
Jun 11, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2021

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 78507 TX Primary

Addresses

Primary practice location

5228 Village Creek Dr Ste 100
Plano, TX 75093-4430

Mailing address

5228 Village Creek Dr Ste 100
Plano, TX 75093-4430
Phone (972) 913-4738

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
I20250123002658 TX Practitioner - Mental Health Counselor 9830628650 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Think Tank Counseling PLLC CurrentSince Nov 22, 2024 Accepting new patients

Locations

5228 Village Creek Dr
Ste 100
Plano, TX 75093
Phone (972) 757-6422

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1623369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623369600000",
    "number": "1013585686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5228 VILLAGE CREEK DR STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934430",
            "telephone_number": "972-913-4738",
            "fax_number": "469-666-8197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5228 VILLAGE CREEK DR STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934430",
            "telephone_number": "972-913-4738",
            "fax_number": "469-666-8197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLACORTA SEBRAN",
        "first_name": "CYNTHIA",
        "middle_name": "DIANA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-11",
        "last_updated": "2021-06-11",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "78507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.