Active NPI
Priscilla Yvonne Bayola
- Professional Counselor
- Dallas, TX
National Provider Identifier
1235601691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 81136
- Practice address
- 4100 Spring Valley Rd Ste 515
Dallas, TX 75244-3629 - Phone
- (817) 751-7802
- Fax
- (847) 859-5885
- NPI assigned
- Dec 26, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 81136 | TX | Primary |
Addresses
Primary practice location
4100 Spring Valley Rd Ste 515
Dallas, TX 75244-3629
Mailing address
175 E Hawthorn Pkwy Ste 235
Vernon Hills, IL 60061-1454
Phone (478) 683-4358
Other practice location 1
3117 Landover Dr
Carrollton, TX 75007-3933
Phone (214) 794-1223
Other practice location 2
8915 Harry Hines Blvd
Dallas, TX 75235-1717
Phone (214) 794-1223
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 81136 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584576000000",
"number": "1235601691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 E HAWTHORN PKWY STE 235",
"city": "VERNON HILLS",
"state": "IL",
"postal_code": "600611454",
"telephone_number": "478-683-4358",
"fax_number": "847-859-5885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 SPRING VALLEY RD STE 515",
"city": "DALLAS",
"state": "TX",
"postal_code": "752443629",
"telephone_number": "817-751-7802",
"fax_number": "847-859-5885"
}
],
"practiceLocations": [
{
"address_1": "3117 Landover Dr",
"address_purpose": "LOCATION",
"city": "Carrollton",
"state": "TX",
"postal_code": "750073933",
"country_code": "US",
"telephone_number": "214-794-1223",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8915 Harry Hines Blvd",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752351717",
"country_code": "US",
"telephone_number": "214-794-1223",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAYOLA",
"first_name": "PRISCILLA",
"middle_name": "YVONNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-26",
"last_updated": "2020-03-19",
"certification_date": "2020-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "81136",
"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 Mar 19, 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.