Individual provider Active NPI

Michael Christopher Contreras, LPC-S, LCDC

  • Professional Counselor
  • Bedford, TX
National Provider Identifier
1720322019
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
67235 Issued in TX
Practice address
2217 Martin Dr Ste 200
Bedford, TX 76021-6249
Phone
(817) 537-2044
Fax
(844) 318-2753
NPI assigned
Nov 27, 2012
Last updated
Oct 16, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 13526 TX
Professional Counselor 101YP2500X 67235 TX Primary

Addresses

Primary practice location

2217 Martin Dr Ste 200
Bedford, TX 76021-6249

Mailing address

8328 Edgepoint TRL
Hurst, TX 76053-7447
Phone (817) 875-5845

Other identifiers 3

IdentifierTypeStateIssuer
3129298 01MedicaidTX
312929803MedicaidTX
312929801MedicaidTX

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
I20240226001700 TX Practitioner - Mental Health Counselor 5991140329 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Behavioral Health Specialists Medical Group (de), PAGroup PAC ID 7618397464, 34 clinicians

Practice addresses (Care Compare)

1 Chisholm Trail Rd
Suite 450
Round Rock, TX 78681-5094
Phone (877) 583-5633

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
67235TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
The Wholistic Institute Professional CurrentSince Oct 5, 2021 Accepting new patients
Behavioral Health Specialists Medical Group de PA Professional CurrentSince Jan 14, 2024 Accepting new patients
Monarch Psychiatry of Alaska LLC Past Accepting new patients
PSP Professional Services, Inc. Professional Past Accepting new patients

Locations

312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023

100 Chesterfield Business Pkwy
Fl 2
Chesterfield, MO 63005
Phone (314) 355-8585

500 Marquette Ave NW
Ste 1200
Albuquerque, NM 87102
Phone (505) 295-6685

9205 W Russell Rd
Ste 240
Las Vegas, NV 89148
Phone (702) 430-7801

100 E Campus View Blvd
Ste 250
Columbus, OH 43235
Phone (267) 817-8902

2217 Martin Dr
Ste 200
Bedford, TX 76021
Phone (817) 537-2044

1 Chisholm Trail Rd
Ste 450
Round Rock, TX 78681
Phone (318) 451-2137

101 Southwestern Blvd
Ste 290
Sugar Land, TX 77478
Phone (877) 583-5633

4321 W College Ave
Ste 200
Appleton, WI 54914
Phone (920) 519-2920

Organizations & group practices 5

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": "1353974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1720322019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8328 EDGEPOINT TRL",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760537447",
            "telephone_number": "817-875-5845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2217 MARTIN DR STE 200",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760216249",
            "telephone_number": "817-537-2044",
            "fax_number": "844-318-2753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONTRERAS",
        "first_name": "MICHAEL",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "LPC-S, LCDC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-27",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "13526",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "67235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3129298 01",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "312929803",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "312929801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, TX

Sources for this page

Verify at the official NPI Registry.