Individual provider Active NPI

Marissa Marina Mendez

  • Clinical Social Worker
  • Dallas, TX
National Provider Identifier
1902539794
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
62753 Issued in TX
Practice address
12221 Merit Dr Ste 400
Dallas, TX 75251-2291
Phone
(972) 770-0818
NPI assigned
Jul 8, 2022
Last updated
Oct 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 62753 TX
Clinical Social Worker 1041C0700X 62753 TX Primary

Addresses

Primary practice location

12221 Merit Dr Ste 400
Dallas, TX 75251-2291

Mailing address

5204 Pebble Beach TRL
Denton, TX 76208-6020
Phone (469) 855-5647

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
I20251008004782 TX Practitioner - Clinical Social Worker 2466959010 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Pointe Psychiatry, PAGroup PAC ID 6305997909, 18 clinicians

Practice addresses (Care Compare)

4491 Long Prairie Rd
Suite 600
Flower Mound, TX 75028-1795
Phone (469) 444-2244

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
62753TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Vcounselors PLLC CurrentSince Sep 5, 2025 Accepting new patients
North Pointe Psychiatry, PA CurrentSince Sep 1, 2025 Accepting new patients
Alaniz Counseling and Behavioral Center, P.C. CurrentSince Sep 5, 2025 Accepting new patients
Eudemonia Psychiatry PastSince Sep 1, 2025 Accepting new patients

Locations

860 Hebron Pkwy
Ste 1101
Lewisville, TX 75057
Phone (469) 444-2244

17503 La Cantera Pkwy
Ste 104
San Antonio, TX 78257
Phone (210) 564-9116

5522 Lone Star Pkwy
Ste 303
San Antonio, TX 78253
Phone (210) 614-4990

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1657238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1902539794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5204 PEBBLE BEACH TRL",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762086020",
            "telephone_number": "469-855-5647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12221 MERIT DR STE 400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752512291",
            "telephone_number": "972-770-0818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ",
        "first_name": "MARISSA",
        "middle_name": "MARINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-08",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "62753",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "62753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.