Organization Active NPI

Mount Tabor Counseling Texas Inc

Doing business as North Star Counseling and Wellness

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Grapevine, TX
National Provider Identifier
1205465325
Registry record updated Jul 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MOUNT TABOR COUNSELING TEXAS INC
Doing business as
North Star Counseling and Wellness
Practice address
414 N Main St Ste 103
Grapevine, TX 76051-3395
Phone
(817) 952-6813
NPI assigned
Apr 2, 2020
Last updated
Jul 22, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2023

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

Authorized official

Name
Cherie Ann SpellmanNPI 1083076640
Title
Therapist/Owner
Phone
(817) 952-6183

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

414 N Main St Ste 103
Grapevine, TX 76051-3395

Mailing address

1835 Hidden Brook Dr
Grand Prairie, TX 75050-2671

Other names 1

  • North Star Counseling and Wellness Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cherie.spellman@mounttabortexas.com Direct

National Provider Directory

National Provider Directory

Locations

414 N Main St
Ste 103
Grapevine, TX 76051
Phone (817) 586-6810

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1585785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689984000000",
    "number": "1205465325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 HIDDEN BROOK DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750502671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 N MAIN ST STE 103",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513395",
            "telephone_number": "817-952-6813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT TABOR COUNSELING TEXAS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-02",
        "last_updated": "2023-07-22",
        "certification_date": "2023-07-22",
        "status": "A",
        "authorized_official_last_name": "SPELLMAN",
        "authorized_official_first_name": "CHERIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "817-952-6183"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cherie.spellman@mounttabortexas.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1452 Hughes Rd Ste 200",
            "city": "Grapevine",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760519221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "North Star Counseling and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grapevine, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2023; 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.