Individual provider Active NPI

Donna G Mason, LPC

  • Mental Health Counselor
  • Henderson, TX
National Provider Identifier
1043379761
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
16170 Issued in TX
Practice address
1103 Wilson St
Henderson, TX 75652
Phone
(903) 655-0123
Fax
(903) 655-0123
NPI assigned
Dec 8, 2006
Last updated
Sep 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 16170 TX Primary

Addresses

Primary practice location

1103 Wilson St
Henderson, TX 75652

Mailing address

1103 Wilson St
Henderson, TX 75652-6077
Phone (903) 655-0123

Other practice location 1

3118 H G Mosley Pkwy
Longview, TX 75605-2941
Phone (903) 655-0123

Other identifiers 1

IdentifierTypeStateIssuer
1515652-01MedicaidTX

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
I20240312003786 TX Practitioner - Mental Health Counselor 6608249883 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Counseling Services, PLLCGroup PAC ID 5799158978, 2 clinicians

Practice addresses (Care Compare)

1103 Wilson St
Henderson, TX 75652-6077
Phone (903) 655-0123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30606TXMDPeriodontist
16170TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Services, PLLC Mental Health CurrentSince Feb 24, 2023 Accepting new patients

Locations

1103 Wilson St
Henderson, TX 75652
Phone (903) 655-0123

3118 H G Mosley Pkwy
Longview, TX 75605
Phone (903) 200-1433

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": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1043379761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 WILSON ST",
            "city": "HENDERSON",
            "state": "TX",
            "postal_code": "756526077",
            "telephone_number": "903-655-0123",
            "fax_number": "903-655-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 WILSON ST",
            "city": "HENDERSON",
            "state": "TX",
            "postal_code": "75652",
            "telephone_number": "903-655-0123",
            "fax_number": "903-655-0123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3118 H G Mosley Pkwy",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756052941",
            "country_code": "US",
            "telephone_number": "903-655-0123",
            "fax_number": "903-722-2624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASON",
        "first_name": "DONNA",
        "middle_name": "G",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "16170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1515652-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, TX

Sources for this page

Verify at the official NPI Registry.