Individual provider Active NPI

Arras Darius Khaledi

  • Professional Counselor
  • Colleyville, TX
National Provider Identifier
1053059535
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
80299 Issued in TX
Practice address
404 Forest Meadow Dr
Colleyville, TX 76034-1175
Phone
(919) 816-7801
NPI assigned
May 24, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 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 80299 TX Primary

Addresses

Primary practice location

404 Forest Meadow Dr
Colleyville, TX 76034-1175

Mailing address

404 Forest Meadow Dr
Colleyville, TX 76034-1175
Phone (919) 816-7801

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WA, OR3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20240502001945 TX Practitioner - Mental Health Counselor 3375983786 Reassigns benefits to 3 organizations
I20250328002490 WA Practitioner - Mental Health Counselor 3375983786 Reassigns benefits to 2 organizations
I20250814004535 OR Practitioner - Mental Health Counselor 3375983786 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Talkspace Provider Network PAGroup PAC ID 5799136701, 249 clinicians

Practice addresses (Care Compare)

2753 Valencia LN
Schertz, TX 78154-3721
Phone (530) 531-5544

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
80299TXMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Mental Health CurrentSince Mar 26, 2024 Accepting new patients
Talkspace Provider Network PA CurrentSince Jan 4, 2025 Accepting new patients
Vcounselors PLLC Professional CurrentSince Jan 5, 2025 Accepting new patients
Sondermind Provider Network LLC Professional CurrentSince Feb 12, 2026 Accepting new patients
Talkspace Wa Psychiatry PC CurrentSince May 1, 2025 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

2578 Broadway
Ste 607
New York, NY 10025
Phone (304) 308-3735

10260 SW Greenburg Rd
Fl 4
Tigard, OR 97223
Phone (503) 405-9338

2021 Guadalupe St
Ste 260
Austin, TX 78705
Phone (202) 932-9958

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

5522 Lone Star Pkwy
Ste 303
San Antonio, TX 78253
Phone (210) 614-4990

1455 NW Leary Way
Ste 400
Seattle, WA 98107
Phone (206) 202-8506

Networks

  • devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e
  • WA PPO C-SNP

Organizations & group practices 5

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": "1653350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1053059535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 FOREST MEADOW DR",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760341175",
            "telephone_number": "919-816-7801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 FOREST MEADOW DR",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760341175",
            "telephone_number": "919-816-7801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALEDI",
        "first_name": "ARRAS",
        "middle_name": "DARIUS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-24",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "80299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colleyville, TX

Sources for this page

Verify at the official NPI Registry.