NPIMap

Organization Active NPI

Collin County Mental Health Mental Retardation Center

  • Mental Health Counselor
  • McKinney, TX
National Provider Identifier
1871576835
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
COLLIN COUNTY MENTAL HEALTH MENTAL RETARDATION CENTER
Practice address
1515 Heritage Dr Ste 105
McKinney, TX 75069-3378
Phone
(972) 562-0190
Fax
(972) 665-0076
NPI assigned
Nov 23, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Authorized official

Name
Sheela Antony
Title
Director of Revenue Cycle
Phone
(469) 963-3655

Specialties & licenses 14

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X
Child & Adolescent Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0804X
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X
Case Management Agency 251B00000X TX
Developmental Disabilities Clinic/Center 261QD1600X TX
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 3274 -3276 TX
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

1515 Heritage Dr Ste 105
McKinney, TX 75069-3378

Mailing address

1515 Heritage Dr Ste 105
McKinney, TX 75069-3378
Phone (972) 562-0190

Other practice location 1

2295 Bloomdale Rd
Mckinney, TX 75071
Phone (972) 562-0190

Other practice location 2

209 N Benge St
McKinney, TX 75069-3813
Phone (972) 562-0190

Other practice location 3

7300 Alma Dr
Plano, TX 75025-3565
Phone (972) 562-0190

Other practice location 4

7304 Alma Dr
Plano, TX 75025-3563
Phone (972) 562-0190

Other practice location 5

7308 Alma Dr
Plano, TX 75025-3568
Phone (972) 562-0190

Other practice location 6

205 E. Hwy 80
Suite 155
Forney, TX 75126
Phone (972) 562-0190

Other identifiers 7

IdentifierTypeStateIssuer
084001901MedicaidTX
127377301MedicaidTX
127377305MedicaidTX
GR410OtherTXGR-SERVICE COORDINATION
127377306MedicaidTX
127377304MedicaidTX
127377302MedicaidTX

Other names 2

  • LifePath Systems Doing business as
  • Collin County MHMR Center Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040713001254 TX Part B Supplier - Clinic/Group Practice 9234117342 Receives reassigned benefits from 88 practitioners
Practice locations: Plano, TX; McKinney, TX

National Provider Directory

National Provider Directory

Locations

104 N Cedar Dr
Allen, TX 75002
Phone (972) 727-9133

8200 Stonebrook Pkwy
Ste 208
Frisco, TX 75034
Phone (972) 335-3131

1416 N Church St
McKinney, TX 75069
Phone (972) 359-1110

3920 Alma Dr
Plano, TX 75023
Phone (972) 422-5939

Practitioners & affiliated clinicians

Practitioners 96

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 96

NPI Registry JSON

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772496000000",
    "number": "1871576835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 HERITAGE DR STE 105",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750693378",
            "telephone_number": "972-562-0190",
            "fax_number": "972-562-3647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 HERITAGE DR STE 105",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750693378",
            "telephone_number": "972-562-0190",
            "fax_number": "972-665-0076"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2295 Bloomdale Rd",
            "address_purpose": "LOCATION",
            "city": "Mckinney",
            "state": "TX",
            "postal_code": "75071",
            "country_code": "US",
            "telephone_number": "972-562-0190",
            "fax_number": "972-562-3647",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "209 N Benge St",
            "address_purpose": "LOCATION",
            "city": "McKinney",
            "state": "TX",
            "postal_code": "750693813",
            "country_code": "US",
            "telephone_number": "972-562-0190",
            "fax_number": "972-562-3647",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7300 Alma Dr",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750253565",
            "country_code": "US",
            "telephone_number": "972-562-0190",
            "fax_number": "972-562-3647",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7304 Alma Dr",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750253563",
            "country_code": "US",
            "telephone_number": "972-562-0190",
            "fax_number": "972-562-3647",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7308 Alma Dr",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750253568",
            "country_code": "US",
            "telephone_number": "972-562-0190",
            "fax_number": "972-562-3647",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "205 E. HWY 80",
            "address_2": "Suite 155",
            "address_purpose": "LOCATION",
            "city": "Forney",
            "state": "TX",
            "postal_code": "75126",
            "country_code": "US",
            "telephone_number": "972-562-0190",
            "fax_number": "972-562-3647",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COLLIN COUNTY MENTAL HEALTH MENTAL RETARDATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-23",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A",
        "authorized_official_last_name": "ANTONY",
        "authorized_official_first_name": "SHEELA",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE CYCLE",
        "authorized_official_telephone_number": "469-963-3655"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "TX",
            "license": "3274 -3276",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084001901",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127377301",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127377305",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GR-SERVICE COORDINATION",
            "identifier": "GR410",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127377306",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127377304",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127377302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LifePath Systems",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Collin County MHMR Center",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Collin County MHMR Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; 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.