Carrie M Allen, PHD, LPC-S
Individual provider Active NPI Professional Counselor · Mansfield, TX
NPI 1497110415 · NPPES record last updated Oct 17, 2024
Key facts
- NPI
- 1497110415
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 71834 (TX)
- Practice address
- 1285 N Main St Ste 101-5
Mansfield, TX 76063-1511 - Phone
- (682) 651-7621
- NPI assigned
- Dec 17, 2015
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71834 | TX | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regal Oak Counseling, LLC | Mental Health | Current |
Accepting new patients |
Locations
1285 N Main St
Ste 101-5
Mansfield, TX 76063
Phone (682) 651-7621
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 71834 | TX | |
| Counseling Psychologist | 103TC1900X | 71834 | TX | |
| Professional Counselor | 101YP2500X | 71834 | TX | Yes |
Addresses
Primary practice location
1285 N Main St Ste 101-5
Mansfield, TX 76063-1511
Mailing address
PO Box 163781
Fort Worth, TX 76161-3781
Phone (682) 651-7621
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 355748001 | Medicaid | TX |
Other providers in Mansfield, TX
- Lareshia Annette Alfred
- Alice Elizabeth Ward
- Mandy Alicea
- Esmira Aliyeva
- All About You Home Health LLC
- Cedric D Allen
- Margaret Ann Allen
- Carla J Allison
- Delaney Kathleen Allison
- Allure Smile Dental, P.a.
All providers in Mansfield, TX · Professional Counselor in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.