Individual provider Active NPI

Tahira Moin Hassan, LPC-A

  • Mental Health Counselor
  • Irving, TX
National Provider Identifier
1386329480
Registry record updated Jun 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
89331 Issued in TX
Practice address
4100 Las Brisas Dr
Irving, TX 75038-9045
Phone
(214) 995-9350
NPI assigned
Jun 16, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2023

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 89331 TX Primary

Addresses

Primary practice location

4100 Las Brisas Dr
Irving, TX 75038-9045

Mailing address

4100 Las Brisas Dr
Irving, TX 75038-9045
Phone (214) 995-9350

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
I20240906001074 TX Practitioner - Mental Health Counselor 5597205419

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
89331TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Evolve Counseling Services PLLC Mental Health CurrentSince Aug 22, 2024 Accepting new patients

Locations

4300 Punjab Way
Ste 140
Frisco, TX 75033
Phone (469) 530-2244

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1686873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686873600000",
    "number": "1386329480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 LAS BRISAS DR",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750389045",
            "telephone_number": "214-995-9350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 LAS BRISAS DR",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750389045",
            "telephone_number": "214-995-9350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSAN",
        "first_name": "TAHIRA",
        "middle_name": "MOIN",
        "credential": "LPC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-16",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "89331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.