Individual provider Active NPI

Mariann R Gattelaro, M.S.

  • Mental Health Counselor
  • Allen, TX
National Provider Identifier
1295967040
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
74489 Issued in TX
Practice address
900 Junction Dr
Allen, TX 75013-5290
Phone
(469) 675-3153
NPI assigned
Aug 12, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
School Counselor 101YS0200X NY
Rehabilitation Counselor 225C00000X NY
Mental Health Counselor 101YM0800X 74489 TX Primary

Addresses

Primary practice location

900 Junction Dr
Allen, TX 75013-5290

Mailing address

5805 Dorset Dr
Plano, TX 75093-7850
Phone (214) 551-8587

Other practice location 1

5805 Dorset Dr
Plano, TX 75093-7850
Phone (972) 378-3236

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
74489TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Cutting Edge Pediatric Therapy Mental Health CurrentSince Nov 6, 2022 Accepting new patients
Cutting Edge Pediatric Therapy Mansfield Mental Health Past Accepting new patients

Locations

900 Junction Dr
Allen, TX 75013
Phone (469) 675-3153

1707 Fountainview Dr
Mansfield, TX 76063
Phone (817) 383-9088

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": "1250035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1295967040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5805 DORSET DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750937850",
            "telephone_number": "214-551-8587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 JUNCTION DR",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750135290",
            "telephone_number": "469-675-3153"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5805 Dorset Dr",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750937850",
            "country_code": "US",
            "telephone_number": "972-378-3236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GATTELARO",
        "first_name": "MARIANN",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-12",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "74489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.