Organization Active NPI

Mental Resilient Services

  • Professional Counselor
  • Dallas, TX
National Provider Identifier
1225648223
Registry record updated Aug 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
MENTAL RESILIENT SERVICES
Practice address
2351 W Northwest Hwy Ste 1302
Dallas, TX 75220-8430
Phone
(469) 844-7011
Fax
(469) 914-9624
NPI assigned
Aug 4, 2020
Last updated
Aug 4, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2020

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

Authorized official

Name
Nykitia L Ledbetter, LPCNPI 1194237164
Title
Ceo
Phone
(469) 844-7011

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
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

2351 W Northwest Hwy Ste 1302
Dallas, TX 75220-8430

Mailing address

2351 W Northwest Hwy Ste 1302
Dallas, TX 75220-8430
Phone (469) 844-7011

National Provider Directory

National Provider Directory

Locations

16990 Dallas Pkwy
Ste 206
Dallas, TX 75248

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": "1596499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596499200000",
    "number": "1225648223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2351 W NORTHWEST HWY STE 1302",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752208430",
            "telephone_number": "469-844-7011",
            "fax_number": "469-914-9624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2351 W NORTHWEST HWY STE 1302",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752208430",
            "telephone_number": "469-844-7011",
            "fax_number": "469-914-9624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL RESILIENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-04",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A",
        "authorized_official_last_name": "LEDBETTER",
        "authorized_official_first_name": "NYKITIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "469-844-7011",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2020; 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.