Individual provider Active NPI

Juana Salome Acosta, LPC

  • Mental Health Counselor
  • Dallas, TX
National Provider Identifier
1730734690
Registry record updated Apr 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
78833 Issued in TX
Practice address
1818 Corsicana St
Dallas, TX 75201-6102
Phone
(214) 266-0000
NPI assigned
Aug 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 78833 TX Primary

Addresses

Primary practice location

1818 Corsicana St
Dallas, TX 75201-6102

Mailing address

7402 Red Bud Dr
Dallas, TX 75227-3917
Phone (214) 280-6121

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
I20240124001693 TX Practitioner - Mental Health Counselor 9739532953 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas County Hospital District Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Dallas County Hospital District CurrentSince Jan 1, 2024 Accepting new patients
Dallas County Hospital District Current Accepting new patients

Locations

1818 Corsicana St
Dallas, TX 75201
Phone (214) 266-0214

5151 Maple Ave
Dallas, TX 75235
Phone (214) 266-0013

1800 N Britain Rd
Irving, TX 75061
Phone (214) 266-3000

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1565136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586131200000",
    "number": "1730734690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7402 RED BUD DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752273917",
            "telephone_number": "214-280-6121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 CORSICANA ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752016102",
            "telephone_number": "214-266-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACOSTA",
        "first_name": "JUANA",
        "middle_name": "SALOME",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-07",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "78833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.