Individual provider Active NPI

Charlsa Y Placker, LPC

  • Counselor
  • Desoto, TX
National Provider Identifier
1255606349
Registry record updated Mar 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
941 York Dr
205
Desoto, TX 75115-2065
Phone
(972) 283-6286
Fax
(214) 217-4819
NPI assigned
Mar 21, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

941 York Dr
205
Desoto, TX 75115-2065

Mailing address

941 York Dr
205
Desoto, TX 75115-2065
Phone (972) 283-6286

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
I20240612000232 TX Practitioner - Mental Health Counselor 0749722296 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Raj.Shiwach, M.D., P.a.Group PAC ID 4587744560, 8 clinicians

Practice addresses (Care Compare)

941 York Dr
Suite 200
Desoto, TX 75115-2066
Phone (972) 283-6286

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Raj Shiwach, MD, PA CurrentSince Apr 20, 2024 Accepting new patients
Albert Boyd MD PA Past Accepting new patients

Locations

941 York Dr
Ste 200
Desoto, TX 75115
Phone (972) 283-6286

941 York Dr
Ste 205
Desoto, TX 75115
Phone (972) 283-6286

3372 Garden Brook Dr
Farmers Branch, TX 75234

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": "1332288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332288000000",
    "number": "1255606349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 YORK DR",
            "address_2": "205",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152065",
            "telephone_number": "972-283-6286",
            "fax_number": "214-217-4819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 YORK DR",
            "address_2": "205",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152065",
            "telephone_number": "972-283-6286",
            "fax_number": "214-217-4819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLACKER",
        "first_name": "CHARLSA",
        "middle_name": "Y",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-21",
        "last_updated": "2012-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Desoto, TX

Sources for this page

Verify at the official NPI Registry.