Mark Michalica, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

62362 Issued in TX

Practice address

215 E University Dr
Denton, TX 76209-2011

Phone

(940) 484-6275

Fax

(940) 312-7888

NPI assigned

Apr 15, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Senior Psychological Care Dallas I LLCGroup PAC ID 3375717044, 72 clinicians

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 and National Provider Directory roles.

• Senior Psychological Care Dallas I, LLC

  • Psychologist
  • Houston, TX
  • NPI 1649566795

  Professional

  Medicare reassignment Care Compare group NPD
• Naturally You

  • Professional Counselor
  • Denton, TX
  • NPI 1043539604
  NPD Authorized official

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

{
    "created_epoch": "1271289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1295051217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 E UNIVERSITY DR",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762092011",
            "telephone_number": "940-484-6275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 E UNIVERSITY DR",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762092011",
            "telephone_number": "940-484-6275",
            "fax_number": "940-312-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHALICA",
        "first_name": "MARK",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-15",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "62362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MG Al Denton LLC Dba Mayberry Gardens
• MH Health Care Services, PC
• MH Health Care Services, PC
• Michael a. House, MD, PA
• Michael S. Auvenshine, M.D.
• Stuart Michnick, MD
• Marcus Middlebrook, DMD
• Paul G. Middleton, OD
• Leah Migala, MPAS,PA-C
• Monica Mikkilineni, M.D.

• Professional Counselor in Denton, TX
• Providers in Denton, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; 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.