Unknown Individual – Professional Counselor, NPI 1053600403
Professional Counselor
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,949 MENTAL HEALTH COUNSELOR in TX
Provider Addresses for Unknown Individual
315 W MCLAIN DR
SHERMAN, TX 750922605
Phone: (903) 957-4701
Type: Location
4912 INDIO LN
SHERMAN, TX 750924048
Phone: (903) 267-3406
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20231220001245 | I | Mental Health Counselor | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 75092)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| Mental Health Counselor | TX | |
| Mental Health Counselor | TX | |
| Nurse Practitioner | TX | |
| Mental Health Counselor | TX | |
| Mental Health Counselor | TX | |
| Mental Health Counselor | TX | |
| Nurse Practitioner | TX | |
| Physician Assistant | TX | |
| - | TX |
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