Organization Active NPI

Stress and Relaxation Services of America, PLLC

  • Community/Behavioral Health Agency
  • Plano, TX
National Provider Identifier
1245854199
Registry record updated Jan 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
STRESS AND RELAXATION SERVICES OF AMERICA, PLLC
Practice address
4324 Mapleshade LN Ste 240
Plano, TX 75093-0044
Phone
(847) 293-0544
NPI assigned
Jun 5, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2023

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

Authorized official

Name
Michelle Di Paolo, PHD, LPC, NCCNPI 1871012252
Title
Psychotherapist
Phone
(847) 293-0544

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

4324 Mapleshade LN Ste 240
Plano, TX 75093-0044

Mailing address

4324 Mapleshade LN Ste 240
Plano, TX 75093-0044
Phone (847) 293-0544

Other identifiers 1

IdentifierTypeStateIssuer
1871012252MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240112000052 TX Part B Supplier - Clinic/Group Practice 5799136974 Receives reassigned benefits from 1 practitioner
Practice locations: Plano, TX

National Provider Directory

National Provider Directory

Locations

4324 Mapleshade Ln
Ste 240
Plano, TX 75093
Phone (469) 249-2364

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1591315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673136000000",
    "number": "1245854199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4324 MAPLESHADE LN STE 240",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750930044",
            "telephone_number": "847-293-0544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4324 MAPLESHADE LN STE 240",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750930044",
            "telephone_number": "847-293-0544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRESS AND RELAXATION SERVICES OF AMERICA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-05",
        "last_updated": "2023-01-08",
        "certification_date": "2023-01-08",
        "status": "A",
        "authorized_official_last_name": "DI PAOLO",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "847-293-0544",
        "authorized_official_credential": "PHD, LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871012252",
            "state": "TX"
        }
    ],
    "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 Jan 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.