Individual provider Active NPI

Chianti Mingo, LPC

  • Professional Counselor
  • Dallas, TX
National Provider Identifier
1144624123
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
88417 Issued in TX
Practice address
3560 W Camp Wisdom Rd Ste 100
Dallas, TX 75237-2506
Phone
(214) 266-1280
NPI assigned
Oct 20, 2014
Last updated
Oct 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 005352 NY
Professional Counselor 101YP2500X 88417 TX Primary

Addresses

Primary practice location

3560 W Camp Wisdom Rd Ste 100
Dallas, TX 75237-2506

Mailing address

7575 S Westmoreland Rd Apt 1936
Dallas, TX 75237-3332
Phone (716) 529-9303

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
I20240213003139 TX Practitioner - Mental Health Counselor 4981047362 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dallas County Hospital DistrictGroup PAC ID 8325934813, 597 clinicians

Practice addresses (Care Compare)

3560 W Camp Wisdom Rd
100 Parkland Health
Dallas, TX 75237-2506
Phone (214) 266-0003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005352NYMDMental Health Counselor
88417TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas County Hospital District Mental Health CurrentSince Jan 2, 2024 Accepting new patients
Dallas County Hospital District CurrentSince Jan 2, 2024 Accepting new patients
Dallas County Hospital District Current Accepting new patients

Locations

3560 W Camp Wisdom Rd
Ste 100
Dallas, TX 75237
Phone (214) 266-4000

1800 N Britain Rd
Irving, TX 75061
Phone (214) 266-3000

Organizations & group practices 3

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": "1413763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1144624123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7575 S WESTMORELAND RD APT 1936",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752373332",
            "telephone_number": "716-529-9303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3560 W CAMP WISDOM RD STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752372506",
            "telephone_number": "214-266-1280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINGO",
        "first_name": "CHIANTI",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-20",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "005352",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "88417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.