Active NPI
Nirav Shah
- Mental Health Counselor
- Plano, TX
National Provider Identifier
1962033084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 79272
- Practice address
- 5725 Northbrook Dr
Plano, TX 75093-5954 - Phone
- (972) 415-9855
- NPI assigned
- Jan 28, 2020
- Sex
- Male
- 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 | 79272 | TX | Primary |
Addresses
Primary practice location
5725 Northbrook Dr
Plano, TX 75093-5954
Mailing address
4425 Plano Pkwy Ste 701
Carrollton, TX 75010-5031
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 |
|---|---|---|---|
| 79272 | TX | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Counseling | Mental Health | Current | Accepting new patients |
| Teladoc Health Medical Group, P.a. | Mental Health | Current | Accepting new patients |
Locations
4425 Plano Pkwy
Ste 701
Carrollton, TX 75010
Phone (214) 912-6720
Interoperability endpoints
- niravshah@tdh.allscriptsdirect.net
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.
-
- Mental Health Counselor
- Carrollton, TX
- NPI 1740968817
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580169600000",
"number": "1962033084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4425 PLANO PKWY STE 701",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750105031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5725 NORTHBROOK DR",
"city": "PLANO",
"state": "TX",
"postal_code": "750935954",
"telephone_number": "972-415-9855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "NIRAV",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-01-28",
"last_updated": "2020-01-28",
"certification_date": "2020-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "79272",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.