Individual provider Active NPI

Delarious Oneal Stewart, EDD, NCSP, NCC, LPC

  • Professional Counselor
  • Carrollton, TX
National Provider Identifier
1982914628
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
80995 Issued in TX
Practice address
1735 Keller Springs Rd Ste 202
Carrollton, TX 75006-3006
Phone
(844) 824-8775
NPI assigned
Oct 15, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH61309834 WA
Professional Counselor 101YP2500X 2021025677 MO
Professional Counselor 101YP2500X 5230-125 WI
Professional Counselor 101YP2500X 0701009304 VA
Professional Counselor 101YP2500X 4204 LA
School Psychologist 103TS0200X AN 475286 LA
Professional Counselor 101YP2500X 80995 TX Primary
School Psychologist 103TS0200X 200902 MS

Addresses

Primary practice location

1735 Keller Springs Rd Ste 202
Carrollton, TX 75006-3006

Mailing address

8300 Esters Blvd Ste 900
Irving, TX 75063
Phone (415) 424-4266

Other practice location 1

8280 Willow Oaks Corporate Drive Ste 600
Fairfax, VA 22031
Phone (415) 424-4266

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MO, DC, LA4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20240709004868 TX Practitioner - Mental Health Counselor 2062957434 Reassigns benefits to 1 organization
I20241226001042 MO Practitioner - Mental Health Counselor 2062957434 Reassigns benefits to 1 organization
I20250103002467 DC Practitioner - Mental Health Counselor 2062957434 Reassigns benefits to 1 organization
I20250109002923 LA Practitioner - Mental Health Counselor 2062957434 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2021025677MOMDProfessional Counselor
0701009304VAMDProfessional Counselor
5230-125WIMDProfessional Counselor
AN 475286LAMDSchool Psychologist
200902MSMDSchool Psychologist

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": "1287100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1982914628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 ESTERS BLVD STE 900",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "75063",
            "telephone_number": "415-424-4266",
            "fax_number": "415-520-6633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 KELLER SPRINGS RD STE 202",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750063006",
            "telephone_number": "844-824-8775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8280 Willow Oaks Corporate Drive Ste 600",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "22031",
            "country_code": "US",
            "telephone_number": "415-424-4266",
            "fax_number": "415-520-6633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEWART",
        "first_name": "DELARIOUS",
        "middle_name": "ONEAL",
        "name_prefix": "Dr.",
        "credential": "EDD, NCSP, NCC, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-15",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61309834",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2021025677",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "5230-125",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701009304",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "4204",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "LA",
            "license": "AN 475286",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "80995",
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "MS",
            "license": "200902",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

Verify at the official NPI Registry.