Active NPI
Michelle Mateus
- Mental Health Counselor
- Frisco, TX
National Provider Identifier
1346902236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 84128
- Practice address
- 11500 State Highway 121 Ste 510
Frisco, TX 75035-9348 - Phone
- (469) 200-4093
- Fax
- (469) 200-4079
- NPI assigned
- Oct 8, 2021
- Sex
- Female
- Sole proprietor
- No
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 | 84128 | TX | Primary |
Addresses
Primary practice location
11500 State Highway 121 Ste 510
Frisco, TX 75035-9348
Mailing address
190 E Stacy Rd Ste 306-157
Allen, TX 75002-8734
Phone (469) 200-4093
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
808 Silvermoon Dr
Little Elm, TX 75068-0137
913 W Holiday
Rockwall, TX 75087-2151
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Path Counseling & Wellness, PLLC | Mental Health | Current | Accepting new patients |
| Nazimuddin Mohammed MD PA | Current | Accepting new patients | |
| David L. Falkstein, PH.D., L.L.C. | Past | Accepting new patients |
Locations
11500 State Highway 121
Ste 510
Frisco, TX 75035
Phone (469) 200-4093
913 W Holiday
Rockwall, TX 75087
Phone (214) 233-4434
Organizations & group practices 3
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.
-
- Mental Health Counselor
- Rockwall, TX
- NPI 1609622455
-
- Neurology Physician
- Frisco, TX
- NPI 1710495569
-
- Clinical Psychologist
- Allen, TX
- NPI 1174672836
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633651200000",
"number": "1346902236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "190 E STACY RD STE 306-157",
"city": "ALLEN",
"state": "TX",
"postal_code": "750028734",
"telephone_number": "469-200-4093",
"fax_number": "469-200-4079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11500 STATE HIGHWAY 121 STE 510",
"city": "FRISCO",
"state": "TX",
"postal_code": "750359348",
"telephone_number": "469-200-4093",
"fax_number": "469-200-4079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATEUS",
"first_name": "MICHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-08",
"last_updated": "2021-10-08",
"certification_date": "2021-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "84128",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; 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.