M.P. Counseling Services PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

M.P. COUNSELING SERVICES PLLC

Practice address

806 Jack CT
Longview, TX 75601-8716

Phone

(903) 309-0702

NPI assigned

May 24, 2022

Last updated

Sep 27, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary Carmen Perez, LCSWNPI 1891101408

Title

Owner

Phone

(903) 309-0702

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 2

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.

• Mary Carmen Perez, LCSW

  • Clinical Social Worker
  • Longview, TX
  • NPI 1891101408
  Medicare reassignment Care Compare group NPD Authorized official
• Antoinette Wright, LMSW

  • Clinical Social Worker
  • Longview, TX
  • NPI 1144626151
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1653350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664236800000",
    "number": "1497493076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 JACK CT",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756018716",
            "telephone_number": "903-309-0702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 JACK CT",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756018716",
            "telephone_number": "903-309-0702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M.P. COUNSELING SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-24",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "CARMEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-309-0702",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phuong Kim Ly, MD
• Kyle Fitzgerald Lybarger, MPT
• Jim S Lynch Jr., RCIS,RCVT
• Adrianne Michele Lyons
• M.E. Resources, LLC (Medical Examination Resources)
• Kimberly L Mabry-Paroline, APRN, NP-C,PMHNP-BC
• Peter J Macander, MD
• Rai Machin, M.A., LPC-INTERN
• Mack and Hansen Orthodontics, PLLC (Mack and Hansen Orthodontics)
• Mack Dental

• Clinical Social Worker in Longview, TX
• Providers in Longview, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; 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.