NPIMap

Organization Active NPI

Elevate Healthcare - Carrollton LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Plano, TX
National Provider Identifier
1104496876
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
ELEVATE HEALTHCARE - CARROLLTON LLC
Practice address
5160 Village Creek Dr Ste 100
Plano, TX 75093-4423
Phone
(214) 271-9962
Fax
(214) 964-0817
NPI assigned
Jun 25, 2021
Organization subpart
Yes
Parent organization
ELEVATE HEALTHCARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

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

Authorized official

Name
Margie Barilla
Title
Founder/President
Phone
(214) 271-9962

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TA0400X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary
Psychiatric Hospital 283Q00000X

Addresses

Primary practice location

5160 Village Creek Dr Ste 100
Plano, TX 75093-4423

Mailing address

5160 Village Creek Dr Ste 100
Plano, TX 75093-4423
Phone (214) 271-9962

National Provider Directory

National Provider Directory
Part of
Elevate Healthcare LLC

Locations

4425 Plano Pkwy
Ste 302
Carrollton, TX 75010

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1624579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660780800000",
    "number": "1104496876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5160 VILLAGE CREEK DR STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934423",
            "telephone_number": "214-271-9962",
            "fax_number": "214-964-0817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5160 VILLAGE CREEK DR STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934423",
            "telephone_number": "214-271-9962",
            "fax_number": "214-964-0817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE HEALTHCARE - CARROLLTON LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELEVATE HEALTHCARE LLC",
        "enumeration_date": "2021-06-25",
        "last_updated": "2022-08-18",
        "certification_date": "2022-05-25",
        "status": "A",
        "authorized_official_last_name": "BARILLA",
        "authorized_official_first_name": "MARGIE",
        "authorized_official_title_or_position": "FOUNDER/PRESIDENT",
        "authorized_official_telephone_number": "214-271-9962"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; 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.