Individual provider Active NPI

Carol Ross, M.ED. L.P.C.

  • Counselor
  • Dallas, TX
National Provider Identifier
1659408151
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
20005 Issued in TX
Practice address
3838 Oak Lawn Ave
Suite 812
Dallas, TX 75219-4520
Phone
(214) 538-1567
NPI assigned
Feb 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 20005 TX Primary

Addresses

Primary practice location

3838 Oak Lawn Ave
Suite 812
Dallas, TX 75219-4520

Mailing address

6304 Douglas Ave
Dallas, TX 75205-1615
Phone (214) 361-6064

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
I20240223003132 TX Practitioner - Mental Health Counselor 4183069610 Practice locations: Dallas, TX

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4925 Greenville Ave
Suite 608
Dallas, TX 75206-4021
Phone (214) 538-1567

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
20005TXMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659408151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6304 DOUGLAS AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752051615",
            "telephone_number": "214-361-6064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3838 OAK LAWN AVE",
            "address_2": "SUITE 812",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752194520",
            "telephone_number": "214-538-1567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "CAROL",
        "name_prefix": "Mrs.",
        "credential": "M.ED. L.P.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "20005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.