Individual provider Active NPI

Carma Cassandra Frazier

  • Mental Health Counselor
  • Grapevine, TX
National Provider Identifier
1982385704
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
92661 Issued in TX
Practice address
4841 Merlot Ave
Grapevine, TX 76051-7381
Phone
(817) 809-8399
NPI assigned
Jul 25, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X
Mental Health Counselor 101YM0800X 92661 TX Primary

Addresses

Primary practice location

4841 Merlot Ave
Grapevine, TX 76051-7381

Mailing address

3305 Pecan Park Dr
Flower Mound, TX 75022-2833
Phone (469) 212-3372

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
I20251013001146 TX Practitioner - Mental Health Counselor 4880181064 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3305 Pecan Park Dr
Flower Mound, TX 75022-2833

748 Richmond LN
Keller, TX 76248-5244

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Emh Mid-Cities PLLC Mental Health CurrentSince Sep 24, 2023 Accepting new patients
Emh Mid-Cities PLLC Mental Health CurrentSince Sep 3, 2025 Accepting new patients
Gearing Up Counseling Centers, Inc. PastSince Jul 1, 2023 Accepting new patients
Gearing Up Mental Health PastSince Jul 1, 2023 Accepting new patients

Locations

4841 Merlot Ave
Unit 420
Grapevine, TX 76051
Phone (817) 392-9122

8408 Davis Blvd
Ste 240
North Richland Hills, TX 76182
Phone (817) 765-5664

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1690243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1982385704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3305 PECAN PARK DR",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750222833",
            "telephone_number": "469-212-3372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4841 MERLOT AVE",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760517381",
            "telephone_number": "817-809-8399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAZIER",
        "first_name": "CARMA",
        "middle_name": "CASSANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-25",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "92661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grapevine, TX

Sources for this page

Verify at the official NPI Registry.