Mark Chang, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

65516 Issued in TX

Practice address

1738 N Jupiter Rd
1104
Garland, TX 75042-8699

Phone

(214) 538-1767

NPI assigned

Jul 14, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Galaxy Counseling Center

  • Community/Behavioral Health Agency
  • Garland, TX
  • NPI 1184854945
  NPD (past)
• Galaxy Counseling Center

  • Mental Health Counselor
  • Garland, TX
  • NPI 1730249368
  NPD (past)

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

{
    "created_epoch": "1468454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493596800000",
    "number": "1679926679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 S JUPITER RD",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750427708",
            "telephone_number": "972-272-4429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1738 N JUPITER RD",
            "address_2": "1104",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750428699",
            "telephone_number": "214-538-1767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "MARK",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-14",
        "last_updated": "2017-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "65516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Champion Orthodontics, PLLC
• Sarah Elizabeth Chan, D.D.S.
• Vincent Chan, M.D.
• Katie Chandler
• Susheela Kumari Chandmal, RN
• Szu Wei Chang, DDS
• Jazmyn Chapman
• Larry L Chapman, D.D.S.
• Charles R Everett, M.D. P.a.
• Katherine Mae Chase, MSN, APRN, FNP-C

• Mental Health Counselor in Garland, TX
• Providers in Garland, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2017; 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.