Individual provider Active NPI

Nazak Dadashazar, PH.D, LPC-S, MBA, NC

  • Professional Counselor
  • San Antonio, TX
National Provider Identifier
1144311333
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
60127 Issued in TX
Practice address
7400 Merton Minter St
(116C)
San Antonio, TX 78229-4404
Phone
(210) 321-2701
NPI assigned
Sep 27, 2006
Last updated
Jan 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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 60127 TX Primary

Addresses

Primary practice location

7400 Merton Minter St
(116C)
San Antonio, TX 78229-4404

Mailing address

8706 Paseo Oaks
San Antonio, TX 78255-3516
Phone (210) 718-1418

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
I20250805004325 TX Practitioner - Mental Health Counselor 3476061821 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
60127TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Evolve Psychiatry MD, Inc. CurrentSince Jun 21, 2025 Accepting new patients

Locations

5300 Town and Country Blvd
Ste 240
Frisco, TX 75034
Phone (469) 833-3360

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1144311333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8706 PASEO OAKS",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782553516",
            "telephone_number": "210-718-1418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 MERTON MINTER ST",
            "address_2": "(116C)",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294404",
            "telephone_number": "210-321-2701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DADASHAZAR",
        "first_name": "NAZAK",
        "name_prefix": "Dr.",
        "credential": "PH.D, LPC-S, MBA, NC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "60127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.