Ana Nicolalde, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

72095 Issued in TX

Practice address

3901 Airport Fwy Ste 107
Bedford, TX 76021-6117

Phone

(817) 812-2880

Fax

(817) 812-3096

NPI assigned

Jul 26, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Mental Health Counselor

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Logos Services LLCGroup PAC ID 3476804519, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Logos Services LLC

  • Community/Behavioral Health Agency
  • Keller, TX
  • NPI 1881852952
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1564099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564099200000",
    "number": "1891349080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7312 CHAPMAN DR",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761824562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 AIRPORT FWY STE 107",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760216117",
            "telephone_number": "817-812-2880",
            "fax_number": "817-812-3096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICOLALDE",
        "first_name": "ANA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-26",
        "last_updated": "2019-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "72095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ana@logoscounseling.com",
            "affiliation": "N",
            "address_1": "3901 Airport Fwy Ste 107",
            "city": "Bedford",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760216117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hieu CHI Nguyen
• Matthew Nguyen, P.T.
• Michael Ly Nguyen, M.D.
• Phit Thi Tran Nguyen
• Thuy N Nguyen, DDS
• Taylor Nielsen, NP
• Martin Nieves, LCDC
• Nikhil Bhayani MD PA
• Nirvana Dental
• Terri L Nix, COTA

• Mental Health Counselor in Bedford, TX
• Providers in Bedford, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.