Individual provider Active NPI

Emily Maberry

  • Professional Counselor
  • Dallas, TX
National Provider Identifier
1679897789
Registry record updated Mar 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
18229 Issued in TX
Practice address
930 W Colorado Blvd
Dallas, TX 75208-2632
Phone
(214) 415-8025
NPI assigned
Mar 18, 2010
Last updated
Mar 18, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2010

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 18229 TX Primary

Addresses

Primary practice location

930 W Colorado Blvd
Dallas, TX 75208-2632

Mailing address

930 W Colorado Blvd
Dallas, TX 75208-2632
Phone (214) 415-8025

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
I20250612002361 TX Practitioner - Mental Health Counselor 5294246799 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Beacon Behavioral of Texas PAGroup PAC ID 3678626256, 55 clinicians

Practice addresses (Care Compare)

7777 Forest LN
Suite 833
Dallas, TX 75230-2571
Phone (972) 566-4591

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Behavioral of Texas PA CurrentSince May 1, 2025 Accepting new patients
Dallas Therapy Collective, PLLC Past Accepting new patients

Locations

7777 Forest Ln
Ste 833
Dallas, TX 75230
Phone (972) 566-4591

550 Westcott St
Ste 520
Houston, TX 77007
Phone (713) 864-6694

Organizations & group practices 2

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": "1268870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268870400000",
    "number": "1679897789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 W COLORADO BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752082632",
            "telephone_number": "214-415-8025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 W COLORADO BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752082632",
            "telephone_number": "214-415-8025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MABERRY",
        "first_name": "EMILY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-18",
        "last_updated": "2010-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "18229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.