Individual provider Active NPI

Fariba Abbasi, MS., LCPC

  • Professional Counselor
  • Plano, TX
National Provider Identifier
1215466446
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
78518 Issued in TX
Practice address
1208 Village Creek Dr Ste 104
Plano, TX 75093-4452
Phone
(214) 974-4710
NPI assigned
Jun 10, 2017
Last updated
May 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LC7751 MD
Professional Counselor 101YP2500X 78518 TX Primary

Addresses

Primary practice location

1208 Village Creek Dr Ste 104
Plano, TX 75093-4452

Mailing address

6905 Crystal Falls Dr
Plano, TX 75024-7462
Phone (301) 787-0266

Other identifiers 2

IdentifierTypeStateIssuer
1932845138OtherTXNPI 2
1215466446OtherTXNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LC7751MDMDProfessional Counselor
78518TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Calm and Clear Mind LLC Professional CurrentSince May 16, 2022 Accepting new patients
New Horizons Center for Healing Past Accepting new patients

Locations

1208 Village Creek Dr
Ste 104
Plano, TX 75093
Phone (214) 974-4710

Organizations & group practices 2

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": "1497052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1215466446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6905 CRYSTAL FALLS DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750247462",
            "telephone_number": "301-787-0266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 VILLAGE CREEK DR STE 104",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934452",
            "telephone_number": "214-974-4710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABBASI",
        "first_name": "FARIBA",
        "credential": "MS., LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-10",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC7751",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "78518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI 2",
            "identifier": "1932845138",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1215466446",
            "state": "TX"
        }
    ],
    "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 May 10, 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.