Active NPI
Nancy Kolo, LPC
- Mental Health Counselor
- Dallas, TX
National Provider Identifier
1417014630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 12946
- Practice address
- 3131 Turtle Creek Blvd
Suite 207
Dallas, TX 75219-5426 - Phone
- (972) 948-9155
- Fax
- (214) 443-0322
- NPI assigned
- Jan 3, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 12946 | TX | Primary |
Addresses
Primary practice location
3131 Turtle Creek Blvd
Suite 207
Dallas, TX 75219-5426
Mailing address
3131 Turtle Creek Blvd
Suite 207
Dallas, TX 75219-5426
Phone (972) 948-9155
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 128151 | Other | TX | VALUE OPTIONS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 7, 2024 through Feb 7, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1417014630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3131 TURTLE CREEK BLVD",
"address_2": "SUITE 207",
"city": "DALLAS",
"state": "TX",
"postal_code": "752195426",
"telephone_number": "972-948-9155",
"fax_number": "214-443-0322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3131 TURTLE CREEK BLVD",
"address_2": "SUITE 207",
"city": "DALLAS",
"state": "TX",
"postal_code": "752195426",
"telephone_number": "972-948-9155",
"fax_number": "214-443-0322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOLO",
"first_name": "NANCY",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-03",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "12946",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "128151",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.