Carol McEwen Phelps, PH. D. L.M.F.T.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

2035 Issued in TX

Practice address

3609 Cedar Springs Rd
Dallas, TX 75219-4905

Phone

(214) 528-3007

Fax

(214) 521-7334

NPI assigned

Aug 5, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ME, TX2 enrollments

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 2

Specialty

Marriage and Family Therapist

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Chrysalis Counseling, P. C.

  • Marriage & Family Therapist
  • Dallas, TX
  • NPI 1790997385

  ME

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245249564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3609 CEDAR SPRINGS RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752194905",
            "telephone_number": "214-528-3007",
            "fax_number": "214-521-7334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3609 CEDAR SPRINGS RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752194905",
            "telephone_number": "214-528-3007",
            "fax_number": "214-521-7334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "CAROL",
        "middle_name": "MCEWEN",
        "name_prefix": "Dr.",
        "credential": "PH. D.  L.M.F.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "2035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "028556101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Herbert A. Phelan, MD
• Hillary Michelle Phelan, PA-C
• Janalou Phelan, MS RD LD
• Ted J Phelan, OT
• Brandy Phelps, LMSW
• Catherine Cecilia Phelps, MSN, APRN, WHNP-BC
• Timothy Nicholas Phelps
• Benjamin Yainthang Phen, MD
• Rawle Fabian Philbert, DDS
• Philip B. Halloran, MD

• Marriage & Family Therapist in Dallas, TX
• Providers in Dallas, TX by specialty
• Marriage & Family Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.