Individual provider Active NPI

Darla R. Booker, M.A.

  • Professional Counselor
  • Grand Prairie, TX
National Provider Identifier
1053648501
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
82145 Issued in TX
Practice address
2615 Lake Point Dr Apt 816
Grand Prairie, TX 75050-8500
Phone
(405) 255-8122
NPI assigned
Nov 4, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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 82145 TX Primary

Addresses

Primary practice location

2615 Lake Point Dr Apt 816
Grand Prairie, TX 75050-8500

Mailing address

PO Box 155081
Fort Worth, TX 76155-0081
Phone (405) 255-8122

Other practice location 1

3132 Matlock Rd Ste 305
Arlington, TX 76015-2922
Phone (817) 467-9233

Other practice location 2

404 E Broad St Ste 600
Mansfield, TX 76063-1743
Phone (682) 990-3208

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
I20240917002053 TX Practitioner - Mental Health Counselor 8729529854 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4801 Spring Valley Rd
Suite 20
Farmers Branch, TX 75244-8222

4801 Spring Valley Rd
Suite 20
Dallas, TX 75244-8248

PO Box
Suite 155081
Fort Worth, TX 76155

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
82145TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Curis Functional Health CurrentSince Jul 1, 2024 Accepting new patients

Locations

3132 Matlock Rd
Ste 305
Arlington, TX 76015
Phone (817) 274-7776

3602 Matlock Rd
Ste 204
Arlington, TX 76015
Phone (817) 274-7776

4801 Frankford Rd
Ste 300
Dallas, TX 75287
Phone (214) 390-3259

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": "1257292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1053648501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 155081",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761550081",
            "telephone_number": "405-255-8122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 LAKE POINT DR APT 816",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750508500",
            "telephone_number": "405-255-8122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3132 Matlock Rd Ste 305",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760152922",
            "country_code": "US",
            "telephone_number": "817-467-9233",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "404 E Broad St Ste 600",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "TX",
            "postal_code": "760631743",
            "country_code": "US",
            "telephone_number": "682-990-3208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOOKER",
        "first_name": "DARLA",
        "middle_name": "R.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-04",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "82145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Prairie, TX

Sources for this page

Verify at the official NPI Registry.