Individual provider Active NPI

Mary Patricia Plaut, LMSW-ACP

  • Mental Health Counselor
  • Wolfforth, TX
National Provider Identifier
1952382210
Registry record updated Dec 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
35761 Issued in TX
Practice address
504 N 8TH St
Wolfforth, TX 79382-3219
Phone
(806) 441-4416
NPI assigned
Nov 11, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2009

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 35761 TX Primary

Addresses

Primary practice location

504 N 8TH St
Wolfforth, TX 79382-3219

Mailing address

504 N 8TH St
Wolfforth, TX 79382-3219
Phone (806) 441-4416

Other identifiers 1

IdentifierTypeStateIssuer
169869801MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20041206000012 TX Practitioner - Clinical Social Worker 4981660610 Reassigns benefits to 1 organization
I20241009003645 WI Practitioner - Clinical Social Worker 4981660610 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
BMSC Az LLCGroup PAC ID 4385929173, 130 clinicians
BMSC TX LLCGroup PAC ID 1052680949, 21 clinicians

Practice addresses (Care Compare)

Verona, WI 53593
Phone (855) 241-7160

3405 El Salido Pkwy
Apt 236
Cedar Park, TX 78613-5647
Phone (855) 241-7160

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35761TXMDMental Health Counselor
8005WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
BMSC TX LLC CurrentSince Sep 18, 2024 Accepting new patients
BMSC Az LLC CurrentSince Aug 20, 2024 Accepting new patients

Locations

10204 Bode St
Ste B
Plainfield, IL 60585
Phone (630) 229-6462

10204 Bode St
Ste C
Plainfield, IL 60585
Phone (630) 844-7077

Organizations & group practices 2

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": "1131667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260230400000",
    "number": "1952382210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 N 8TH ST",
            "city": "WOLFFORTH",
            "state": "TX",
            "postal_code": "793823219",
            "telephone_number": "806-441-4416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 N 8TH ST",
            "city": "WOLFFORTH",
            "state": "TX",
            "postal_code": "793823219",
            "telephone_number": "806-441-4416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLAUT",
        "first_name": "MARY",
        "middle_name": "PATRICIA",
        "name_prefix": "Ms.",
        "credential": "LMSW-ACP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-11",
        "last_updated": "2009-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "35761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "169869801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wolfforth, TX

Sources for this page

Verify at the official NPI Registry.