NPIMap

Organization Active NPI

Elevate Healthcare, LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Plano, TX
National Provider Identifier
1508338690
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
ELEVATE HEALTHCARE, LLC
Practice address
5160 Village Creek Dr Ste 100
Plano, TX 75093-4423
Phone
(214) 271-9962
Fax
(214) 964-0817
NPI assigned
Dec 29, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

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

Authorized official

Name
Margie Canarios Barilla
Title
Ceo
Phone
(214) 271-9962

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TA0400X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary
Psychiatric Hospital 283Q00000X

Addresses

Primary practice location

5160 Village Creek Dr Ste 100
Plano, TX 75093-4423

Mailing address

5160 Village Creek Dr Ste 100
Plano, TX 75093-4423
Phone (214) 271-9962

Other identifiers 2

IdentifierTypeStateIssuer
4012718MedicaidTX
3663353MedicaidTX

National Provider Directory

National Provider Directory

Locations

1615 W Abram St
Ste 106
Arlington, TX 76013
Phone (469) 969-0581

333 N Shiloh Rd
Ste 102
Garland, TX 75042
Phone (469) 917-9201

2505 Texas Dr
Ste 102
Irving, TX 75062

4001 Technology Ctr
Ste 201
Longview, TX 75605
Phone (430) 201-5381

2427 Baker Dr
Ste D
Mesquite, TX 75150
Phone (469) 917-9201

2427 Baker Dr
Ste B
Mesquite, TX 75150
Phone (469) 969-0581

2427 Baker Dr
Ste A
Mesquite, TX 75150
Phone (469) 969-0581

1313 N Travis St
Ste 103
Sherman, TX 75092

Ownership & related parties

Subparts reporting this organization as parent 9

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1546041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660780800000",
    "number": "1508338690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5160 VILLAGE CREEK DR STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934423",
            "telephone_number": "214-271-9962",
            "fax_number": "214-964-0817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5160 VILLAGE CREEK DR STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934423",
            "telephone_number": "214-271-9962",
            "fax_number": "214-964-0817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-29",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A",
        "authorized_official_last_name": "BARILLA",
        "authorized_official_first_name": "MARGIE",
        "authorized_official_middle_name": "CANARIOS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-271-9962"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4012718",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3663353",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.