Individual provider Active NPI

Elizabeth Jeannine Coles, LPC

  • Professional Counselor
  • Dallas, TX
National Provider Identifier
1407051071
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
61349 Issued in TX
Practice address
5402 Arapaho Rd
Dallas, TX 75248-6905
Phone
(972) 437-9950
NPI assigned
Jun 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 61349 TX Primary
Mental Health Counselor 101YM0800X 61349 TX

Addresses

Primary practice location

5402 Arapaho Rd
Dallas, TX 75248-6905

Mailing address

5402 Arapaho Rd
Dallas, TX 75248-6905

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
I20240227001369 TX Practitioner - Mental Health Counselor 3375988603 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jewish Family Service of Dallas, IncGroup PAC ID 3274504808, 17 clinicians

Practice addresses (Care Compare)

16301 Quorum Dr
Suite A1800
Forney, TX 75001-1443

16301 Quorum Dr
Suite B2200
Addison, TX 75001-5978

5402 Arapaho Rd
Dallas, TX 75248-6905
Phone (972) 437-9950

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61349TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family Service of Dallas, Inc Mental Health CurrentSince Jan 9, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: elizabeth.coles.1@27034.direct.athenahealth.com

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": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1407051071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5402 ARAPAHO RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752486905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5402 ARAPAHO RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752486905",
            "telephone_number": "972-437-9950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLES",
        "first_name": "ELIZABETH",
        "middle_name": "JEANNINE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-15",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "61349",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "61349",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.