Active NPI
Mindy P. Tulbert, LCSW
- Clinical Social Worker
- Plano, TX
National Provider Identifier
1235209305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 22790
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Philip D. Korenman MD | Current | 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.
-
- Psychiatry Physician
- Plano, TX
- NPI 1225753908
-
- Professional Counselor
- Plano, TX
- NPI 1992077341
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.