Active NPI
Michael Anthony Ferraro, LMFT, LPC, LCDC
- Mental Health Counselor
- Dallas, TX
National Provider Identifier
1740877018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 73607
- Practice address
- 17250 Dallas Pkwy
Dallas, TX 75248-1136 - Phone
- (469) 629-6995
- NPI assigned
- Dec 21, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 12872 | TX | |
| Mental Health Counselor | 101YM0800X | 73607 | TX | Primary |
Addresses
Primary practice location
17250 Dallas Pkwy
Dallas, TX 75248-1136
Mailing address
5914 London CT
Dallas, TX 75252-5110
Phone (469) 222-6498
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12872 | TX | MD | Addiction (Substance Use Disorder) Counselor |
| 73607 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608508800000",
"number": "1740877018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5914 LONDON CT",
"city": "DALLAS",
"state": "TX",
"postal_code": "752525110",
"telephone_number": "469-222-6498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17250 DALLAS PKWY",
"city": "DALLAS",
"state": "TX",
"postal_code": "752481136",
"telephone_number": "469-629-6995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERRARO",
"first_name": "MICHAEL",
"middle_name": "ANTHONY",
"credential": "LMFT, LPC, LCDC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-12-21",
"last_updated": "2020-12-21",
"certification_date": "2020-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "12872",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "73607",
"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 Dec 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.