Active NPI
Maria Isela Ventura, LPC
- Mental Health Counselor
- Dallas, TX
National Provider Identifier
1306412234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 79629
- Practice address
- 8204 Elmbrook Dr Ste 172
Dallas, TX 75247-4013 - Phone
- (214) 755-7964
- Fax
- (214) 845-7787
- NPI assigned
- Jun 1, 2021
- Last updated
- Jun 1, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 79629 | TX | Primary |
Addresses
Primary practice location
8204 Elmbrook Dr Ste 172
Dallas, TX 75247-4013
Mailing address
8204 Elmbrook Dr Ste 172
Dallas, TX 75247-4013
Phone (214) 755-7964
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 31, 2024 through Jan 31, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 79629 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622505600000",
"number": "1306412234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8204 ELMBROOK DR STE 172",
"city": "DALLAS",
"state": "TX",
"postal_code": "752474013",
"telephone_number": "214-755-7964",
"fax_number": "214-845-7787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8204 ELMBROOK DR STE 172",
"city": "DALLAS",
"state": "TX",
"postal_code": "752474013",
"telephone_number": "214-755-7964",
"fax_number": "214-845-7787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VENTURA",
"first_name": "MARIA",
"middle_name": "ISELA",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-01",
"last_updated": "2021-06-01",
"certification_date": "2021-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "79629",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.