Individual provider Active NPI

Bret Michael Menassa, PHD

  • Professional Counselor
  • Dallas, TX
National Provider Identifier
1972873677
Registry record updated Mar 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
62463 Issued in TX
Practice address
8200 Walnut Hill LN
Department of Psychiatry
Dallas, TX 75231-4426
Phone
(214) 345-7355
Fax
(214) 345-8753
NPI assigned
Jan 11, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 62463 TX Primary

Addresses

Primary practice location

8200 Walnut Hill LN
Department of Psychiatry
Dallas, TX 75231-4426

Mailing address

8200 Walnut Hill LN
Department of Psychiatry
Dallas, TX 75231-4426
Phone (214) 345-7355

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
I20240128000092 TX Practitioner - Mental Health Counselor 5597118349 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
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)

860 Hebron Pkwy
Suite 1101
Lewisville, TX 75057-5147
Phone (469) 444-2244

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
62463TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
North Pointe Psychiatry, PA CurrentSince Jan 1, 2024 Accepting new patients

Locations

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

Interoperability endpoints

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

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": "1326240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363910400000",
    "number": "1972873677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 WALNUT HILL LN",
            "address_2": "DEPARTMENT OF PSYCHIATRY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314426",
            "telephone_number": "214-345-7355",
            "fax_number": "214-345-8753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 WALNUT HILL LN",
            "address_2": "DEPARTMENT OF PSYCHIATRY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314426",
            "telephone_number": "214-345-7355",
            "fax_number": "214-345-8753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENASSA",
        "first_name": "BRET",
        "middle_name": "MICHAEL",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-11",
        "last_updated": "2013-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "62463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.