Organization Active NPI

The Neuropsychology & Counseling Center, LLC

  • Clinical Neuropsychologist
  • Dallas, TX
National Provider Identifier
1528338340
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
33990 Issued in TX
Legal business name
THE NEUROPSYCHOLOGY & COUNSELING CENTER, LLC
Practice address
4101 McEwen Rd Ste 318
Dallas, TX 75244-5257
Phone
(469) 975-2411
NPI assigned
Jan 10, 2012
Last updated
Jun 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Dr. Carlos Daniel Marquez de la Plata, PHDNPI 1629223557
Title
Director
Phone
(469) 975-2411

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X NU
Counselor 101Y00000X 33990 TX
Clinical Neuropsychologist 103G00000X 33990 TX Primary
Clinical Psychologist 103TC0700X 33990 TX

Addresses

Primary practice location

4101 McEwen Rd Ste 318
Dallas, TX 75244-5257

Mailing address

4101 McEwen Rd Ste 318
Dallas, TX 75244-5257
Phone (469) 975-2411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190716000402 TX Part B Supplier - Clinic/Group Practice 5395070213 Receives reassigned benefits from 2 practitioners
Practice locations: Dallas, TX; Plano, TX

National Provider Directory

National Provider Directory

Locations

4101 McEwen Rd
Ste 318
Dallas, TX 75244
Phone (469) 975-2411

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1326153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1528338340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 MCEWEN RD STE 318",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752445257",
            "telephone_number": "469-975-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 MCEWEN RD STE 318",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752445257",
            "telephone_number": "469-975-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE NEUROPSYCHOLOGY & COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-10",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "MARQUEZ DE LA PLATA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "469-975-2411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "33990",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "TX",
            "license": "33990",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "33990",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Jun 11, 2019; 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.