Individual provider Active NPI

Mindy P. Tulbert, LCSW

  • Clinical Social Worker
  • Plano, TX
National Provider Identifier
1235209305
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
22790 Issued in TX
Practice address
4975 Preston Park Blvd Ste 80
Plano, TX 75093-8313
Phone
(214) 914-8105
NPI assigned
Nov 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 22790 TX Primary

Addresses

Primary practice location

4975 Preston Park Blvd Ste 80
Plano, TX 75093-8313

Mailing address

4975 Preston Park Blvd Ste 80
Plano, TX 75093-8313
Phone (214) 914-8105

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
I20110316000960 TX Practitioner - Clinical Social Worker 2860674512 Practice locations: Plano, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4975 Preston Park Blvd
Suite 130
Plano, TX 75093-3635
Phone (972) 985-2439

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Philip D. Korenman MD CurrentSince Oct 9, 2022 Accepting new patients
Benchmark Counseling, LLC Past Accepting new patients

Locations

4975 Preston Park Blvd
Ste 130
Plano, TX 75093
Phone (972) 985-2439

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1235209305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4975 PRESTON PARK BLVD STE 80",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938313",
            "telephone_number": "214-914-8105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4975 PRESTON PARK BLVD STE 80",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938313",
            "telephone_number": "214-914-8105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TULBERT",
        "first_name": "MINDY",
        "middle_name": "P.",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "22790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.