Active NPI
Mavis Ball, LPC
- Mental Health Counselor
- Bedford, TX
National Provider Identifier
1932813045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 68474
- Practice address
- 2716 Murphy Dr
Bedford, TX 76021-4936 - Phone
- (817) 583-2894
- Fax
- (817) 583-2894
- NPI assigned
- Jan 12, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 68474 | TX | Primary |
Addresses
Primary practice location
2716 Murphy Dr
Bedford, TX 76021-4936
Mailing address
2716 Murphy Dr
Bedford, TX 76021-4936
Phone (817) 583-2894
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 |
|---|---|---|---|
| 68474 | TX | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intellection Consulting, LLC | Mental Health | Current | Accepting new patients |
Locations
2716 Murphy Dr
Bedford, TX 76021
Phone (817) 583-2894
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": "1673481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673481600000",
"number": "1932813045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2716 MURPHY DR",
"city": "BEDFORD",
"state": "TX",
"postal_code": "760214936",
"telephone_number": "817-583-2894",
"fax_number": "817-583-2894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2716 MURPHY DR",
"city": "BEDFORD",
"state": "TX",
"postal_code": "760214936",
"telephone_number": "817-583-2894",
"fax_number": "817-583-2894"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALL",
"first_name": "MAVIS",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-12",
"last_updated": "2023-01-12",
"certification_date": "2023-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "68474",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bedford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.