UNIVERSITY PARK COUNSELING & TESTING CENTER, PLLC — NPI 1134925969 (Licensed & Credentialed Behavioral Health & Social Service Providers

CMS-1500 Box 24J / 33a • NPI

1134925969

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

101YM0800X (CMS E2)

Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor

Box 32 Service Location & ZIP+4

5728 LYNDON B JOHNSON FWY STE 250, DALLAS, TX, 75240-6323

✓ 9-Digit EDI 837 ZIP+4 (75240-6323)

Practice Phone & Referral Fax

(972) 825-6570

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1134925969 (UNIVERSITY PARK COUNSELING & TESTING CENTER, PLLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1134925969` (NPI-2 Organization / Facility)
Provider / Legal Name	UNIVERSITY PARK COUNSELING & TESTING CENTER, PLLC
Plain-English Specialty	Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor NUCC Code: `101YM0800X` (Counselor, Mental Health)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	5728 LYNDON B JOHNSON FWY STE 250, DALLAS, TX, 75240-6323
Practice Telephone / Fax	Tel: (972) 825-6570
Administrative Mailing Address	PO BOX 687, KEMP, TX, 75143-0687
Enumeration & Last Sync	Enumerated: 2025-02-21 \| CMS Record Updated: 2025-02-21
Authorized Official	TWILA FARRAR (CEO/ President)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

5728 LYNDON B JOHNSON FWY STE 250, DALLAS, TX, 75240-6323

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Plain-English Taxonomy & CMS Crosswalk (101YM0800X)

What Does Taxonomy Code 101YM0800X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 101YM0800X translates to:
"Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor"

CMS-1500 Medicare Specialty Crosswalk: CMS Code E2 (Mental Health Counselor)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Counselor, Mental Health for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (UNIVERSITY PARK COUNSELING & TESTING CENTER, PLLC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`101Y00000X` — Counselor Plain English: Licensed & Credentialed Counselor	State: N/A \| License: `Verified` \| Primary: Secondary
`101YA0400X` — Counselor, Addiction (Substance Use Disorder) Plain English: Licensed & Credentialed Counselor, Addiction (Substance Use Disorder)	State: N/A \| License: `Verified` \| Primary: Secondary
`101YM0800X` — Counselor, Mental Health Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor	State: N/A \| License: `Verified` \| Primary: Yes (Primary)
`101YP2500X` — Counselor, Professional Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor	State: N/A \| License: `Verified` \| Primary: Secondary
`103K00000X` — Behavior Analyst Plain English: Licensed & Credentialed Behavior Analyst	State: N/A \| License: `Verified` \| Primary: Secondary
`106E00000X` — Assistant Behavior Analyst Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Assistant Behavior Analyst	State: N/A \| License: `Verified` \| Primary: Secondary
`106H00000X` — Marriage & Family Therapist Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Marriage and Family Therapist	State: N/A \| License: `Verified` \| Primary: Secondary
`106S00000X` — Behavior Technician Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Technician	State: N/A \| License: `Verified` \| Primary: Secondary
`163WP0807X` — Registered Nurse, Psych/Mental Health, Child & Adolescent Plain English: Licensed & Credentialed Registered Nurse, Psych/Mental Health, Child & Adolescent	State: N/A \| License: `Verified` \| Primary: Secondary
`163WP0808X` — Registered Nurse, Psych/Mental Health Plain English: Licensed & Credentialed Registered Nurse, Psych/Mental Health	State: N/A \| License: `Verified` \| Primary: Secondary
`163WP0809X` — Registered Nurse, Psych/Mental Health, Adult Plain English: Licensed & Credentialed Registered Nurse, Psych/Mental Health, Adult	State: N/A \| License: `Verified` \| Primary: Secondary
`363LP0808X` — Nurse Practitioner, Psych/Mental Health Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Psychiatric — Mental Health	State: N/A \| License: `Verified` \| Primary: Secondary

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UNIVERSITY PARK COUNSELING & TESTING CENTER, PLLC (NPI #1134925969)