Organization Active NPI

Diagnostic and Counseling Services

  • Mental Health Counselor
  • Frisco, TX
National Provider Identifier
1639633233
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
DIAGNOSTIC AND COUNSELING SERVICES
Practice address
12609 Blue Ridge Dr
Frisco, TX 75033-0970
Phone
(469) 685-3572
NPI assigned
Jan 28, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Authorized official

Name
Ms. Mary Elizabeth Roldan-Balboa, LPC
Title
Owner
Phone
(469) 685-3572

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

12609 Blue Ridge Dr
Frisco, TX 75033-0970

Mailing address

12609 Blue Ridge Dr
Frisco, TX 75033-0970
Phone (469) 685-3572

Other identifiers 1

IdentifierTypeStateIssuer
1376084046OtherTXMEDICIAD

Other names 1

  • Mary Roldan Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1548633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1639633233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12609 BLUE RIDGE DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750330970",
            "telephone_number": "469-685-3572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12609 BLUE RIDGE DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750330970",
            "telephone_number": "469-685-3572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAGNOSTIC AND COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-28",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "ROLDAN-BALBOA",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-685-3572",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICIAD",
            "identifier": "1376084046",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mary Roldan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.