Individual provider Active NPI

Philip G Bohart, LPC

  • Professional Counselor
  • Dallas, TX
National Provider Identifier
1508897885
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
15980 Issued in TX
Practice address
8390 LBJ Frwy
Suite 1000
Dallas, TX 75243-1288
Phone
(214) 361-2100
Fax
(214) 361-2145
NPI assigned
Jul 5, 2006
Last updated
Dec 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 15980 TX Primary

Addresses

Primary practice location

8390 LBJ Frwy
Suite 1000
Dallas, TX 75243-1288

Mailing address

P.O. Box 537
Sulphur Springs, TX 75483-0537
Phone (214) 361-2100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240104003272 TX Practitioner - Mental Health Counselor 9436179744 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Health Psychology CenterGroup PAC ID 2365767589, 7 clinicians

Practice addresses (Care Compare)

5925 Forest LN
Suite 505
Dallas, TX 75230-2762
Phone (214) 361-2100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15980TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Health Psychology Center CurrentSince Jan 2, 2024 Accepting new patients

Locations

5925 Forest Ln
Ste 505
Dallas, TX 75230

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1508897885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 537",
            "city": "SULPHUR SPRINGS",
            "state": "TX",
            "postal_code": "754830537",
            "telephone_number": "214-361-2100",
            "fax_number": "214-361-2145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8390 LBJ FRWY",
            "address_2": "SUITE 1000",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752431288",
            "telephone_number": "214-361-2100",
            "fax_number": "214-361-2145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHART",
        "first_name": "PHILIP",
        "middle_name": "G",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "15980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.