Bahareh Mahdavi

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

96233 Issued in TX

Practice address

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

Phone

(972) 913-4738

NPI assigned

Oct 22, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Think Tank Counseling PLLC

  • Counselor
  • Plano, TX
  • NPI 1922663624
  NPD

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

{
    "created_epoch": "1729555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1043031073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5723 HUMMINGBIRD LN",
            "city": "FAIRVIEW",
            "state": "TX",
            "postal_code": "750696843",
            "telephone_number": "972-913-4738"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHDAVI",
        "first_name": "BAHAREH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-22",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "96233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Halle Jo Magee, PA-C
• Magnolia Assisted Living and Memory Care LLC
• Magnum Billing Services
• Sopa Mahaboonpachai, APRN/FNP-C
• Tammy J Mahan, LPC
• Mahmood R Khan MD PA
• Alia Mahmood
• Sammy Mohamed Mahmoud, MS, DDS
• Ali S Mahmud, M.D.
• Hina Mahmud, M.D.

• Professional Counselor in Plano, TX
• Providers in Plano, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.