Individual provider Active NPI

Christal Mihalo, LCPC

  • Professional Counselor
  • Plano, TX
National Provider Identifier
1699783829
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180002617 Issued in IL
Practice address
5200 McDermott Rd Ste 225
Plano, TX 75024-7746
Phone
(972) 806-0949
Fax
(469) 409-6129
NPI assigned
Aug 3, 2006
Last updated
Jan 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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 180002617 IL Primary

Addresses

Primary practice location

5200 McDermott Rd Ste 225
Plano, TX 75024-7746

Mailing address

5200 McDermott Rd Ste 225
Plano, TX 75024-7746
Phone (972) 806-0949

Other practice location 1

27W291 Geneva Rd
Suite C
Winfield, IL 60190-2041
Phone (630) 462-0409 ext. 25

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240524003468 TX Practitioner - Mental Health Counselor 8527400274 Reassigns benefits to 1 organization
I20241004002535 IL Practitioner - Mental Health Counselor 8527400274 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Professional CurrentSince Apr 20, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

605 N Michigan Ave
Fl 4
Chicago, IL 60611
Phone (773) 232-5338

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

Organizations & group practices 1

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": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1699783829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 MCDERMOTT RD STE 225",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750247746",
            "telephone_number": "972-806-0949",
            "fax_number": "469-409-6126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 MCDERMOTT RD STE 225",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750247746",
            "telephone_number": "972-806-0949",
            "fax_number": "469-409-6129"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27W291 Geneva Rd",
            "address_2": "Suite C",
            "address_purpose": "LOCATION",
            "city": "Winfield",
            "state": "IL",
            "postal_code": "601902041",
            "country_code": "US",
            "telephone_number": "630-462-0409 x25",
            "fax_number": "630-462-7969",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIHALO",
        "first_name": "CHRISTAL",
        "name_prefix": "Ms.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180002617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.