Organization Active NPI

Mindglamour PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1740076413
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
MINDGLAMOUR PLLC
Practice address
1230 River Bend Dr Ste 218
Dallas, TX 75247-4993
Phone
(469) 401-5133
NPI assigned
Apr 17, 2025
Last updated
Aug 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Authorized official

Name
Dr. Consuela Denise HarrisNPI 1497802516
Title
Owner
Phone
(469) 401-5133

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X Primary

Addresses

Primary practice location

1230 River Bend Dr Ste 218
Dallas, TX 75247-4993

Mailing address

3763 Royal LN
Dallas, TX 75229-3950
Phone (972) 987-6184

Other practice location 1

1400 N Coit Rd Ste 2102
McKinney, TX 75071-6663
Phone (972) 987-6184

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250429003413 TX Part B Supplier - Clinic/Group Practice 5890211163 Receives reassigned benefits from 1 practitioner
Practice locations: McKinney, TX; Dallas, TX

National Provider Directory

National Provider Directory

Locations

1230 River Bend Dr
Ste 218
Dallas, TX 75247
Phone (469) 401-5133

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1744848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754438400000",
    "number": "1740076413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3763 ROYAL LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752293950",
            "telephone_number": "972-987-6184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 RIVER BEND DR STE 218",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752474993",
            "telephone_number": "469-401-5133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 N Coit Rd Ste 2102",
            "address_purpose": "LOCATION",
            "city": "McKinney",
            "state": "TX",
            "postal_code": "750716663",
            "country_code": "US",
            "telephone_number": "972-987-6184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MINDGLAMOUR PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-17",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "CONSUELA",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-401-5133",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.