Individual provider Active NPI

Tuba Fidan

  • Mental Health Counselor
  • Allen, TX
National Provider Identifier
1306587613
Registry record updated Apr 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
88259
Practice address
919 Medical Dr
Allen, TX 75013-5755
Phone
(214) 810-2156
NPI assigned
Apr 2, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 88259 Primary

Addresses

Primary practice location

919 Medical Dr
Allen, TX 75013-5755

Mailing address

919 Medical Dr
Allen, TX 75013-5755

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
I20250217002862 TX Practitioner - Mental Health Counselor 2567982879 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Think Tank Counseling PLLCGroup PAC ID 3476976382, 3 clinicians

Practice addresses (Care Compare)

5228 Village Creek Dr
Suite 100
Plano, TX 75093-4430
Phone (972) 913-4738

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Think Tank Counseling PLLC CurrentSince Feb 11, 2025 Accepting new patients

Locations

5228 Village Creek Dr
Ste 100
Plano, TX 75093
Phone (972) 757-6422

Organizations & group practices 1

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": "1648857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648857600000",
    "number": "1306587613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 MEDICAL DR",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750135755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 MEDICAL DR",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750135755",
            "telephone_number": "214-810-2156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIDAN",
        "first_name": "TUBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-02",
        "last_updated": "2022-04-02",
        "certification_date": "2022-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": "88259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

Verify at the official NPI Registry.