Individual provider Active NPI

Ali Rahman

  • Mental Health Counselor
  • Frisco, TX
National Provider Identifier
1891381869
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
11500 State Highway 121 Ste 510
Frisco, TX 75035-9348
Phone
(469) 200-4093
NPI assigned
Dec 14, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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 Primary

Addresses

Primary practice location

11500 State Highway 121 Ste 510
Frisco, TX 75035-9348

Mailing address

11500 State Highway 121 Ste 510
Frisco, TX 75035-9348
Phone (469) 200-4093

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
I20231130000204 TX Practitioner - Mental Health Counselor 3476966656 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
84933TXMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nazimuddin Mohammed MD PA CurrentSince Jan 1, 2024 Accepting new patients

Locations

11500 State Highway 121
Ste 510
Frisco, TX 75035
Phone (469) 200-4093

11500 State Highway 121
Ste 930
Frisco, TX 75035
Phone (469) 200-4083

11500 State Highway 121
Ste 93
Frisco, TX 75035
Phone (469) 200-4093

281 W Southlake Blvd
Southlake, TX 76092
Phone (469) 200-4093

281 W Southlake Blvd
Bldg 10
Southlake, TX 76092
Phone (469) 200-4093

Organizations & group practices 1

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": "1607904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1891381869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11500 STATE HIGHWAY 121 STE 510",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750359348",
            "telephone_number": "469-200-4093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11500 STATE HIGHWAY 121 STE 510",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750359348",
            "telephone_number": "469-200-4093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHMAN",
        "first_name": "ALI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-14",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.