Organization Active NPI

Amazing Counseling and Rehabilitation Services, Incorporated

  • Professional Counselor
  • Desoto, TX
National Provider Identifier
1407301351
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
AMAZING COUNSELING AND REHABILITATION SERVICES, INCORPORATED
Practice address
1534 N Hampton Rd # 200
Desoto, TX 75115-2493
Phone
(469) 941-4067
Fax
(469) 941-4091
NPI assigned
Aug 22, 2016
Last updated
Sep 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Authorized official

Name
Patrick Anayo MonekeNPI 1114416062
Title
Ceo
Phone
(817) 366-0950

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary
Clinical Social Worker 1041C0700X NU

Addresses

Primary practice location

1534 N Hampton Rd # 200
Desoto, TX 75115-2493

Mailing address

7268 Portillo
Grand Prairie, TX 75054-0073
Phone (817) 366-0950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240506000709 TX Part B Supplier - Clinic/Group Practice 3678913860 Receives reassigned benefits from 3 practitioners
Practice locations: Desoto, TX

National Provider Directory

National Provider Directory

Locations

1534 N Hampton Rd
#200
Desoto, TX 75115
Phone (469) 941-4067

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1471824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758758400000",
    "number": "1407301351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7268 PORTILLO",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750540073",
            "telephone_number": "817-366-0950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1534 N HAMPTON RD # 200",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152493",
            "telephone_number": "469-941-4067",
            "fax_number": "469-941-4091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAZING COUNSELING AND REHABILITATION SERVICES, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-22",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A",
        "authorized_official_last_name": "MONEKE",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "ANAYO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "817-366-0950"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Desoto, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.