1. Home
  2. Directory
  3. Texas
  4. Dallas
  5. Counselor
  6. NPI Profile

RAEQUAEL CARSON M.S., LPC, BCBA, LBA
NPI 1023436771
Counselor - Professional in Dallas, TX

Active since March 31, 2014PECOS Enrolled
1341 W MOCKINGBIRD LN STE 201W, DALLAS, TX 75247(214) 456-7000(214) 867-5389 Get Directions Write a Review

NPPES record last updated: December 4, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 4, 2025, Aug 12, 2019 (2 updates tracked since 2019).

About Raequael Carson M.s., Lpc, Bcba, Lba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAEQUAEL CARSON M.S., LPC, BCBA, LBA (NPI 1023436771) is an individual professional provider in Dallas, Texas, licensed in Texas (74407) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1023436771
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameRAEQUAEL CARSONCredential: M.S., LPC, BCBA, LBA
Location Address1341 W MOCKINGBIRD LN STE 201WDallas, TX 75247-4979
Mailing Address1341 W Mockingbird Ln Ste 201wDallas, TX 75247-4979 · (214) 456-7000 · Fax (214) 867-5389
Phone(214) 456-7000
Fax(214) 867-5389
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateMarch 31, 2014
Last NPPES UpdateDecember 4, 20252 updates tracked since enumeration
NPPES CertifiedDecember 4, 2025
✔ NPI 1023436771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in TX · 74407
Also ListedBehavior AnalystTaxonomy 103K00000X · License 1-13-14458 (TX)
1341 W MOCKINGBIRD LN STE 201W, Dallas, TX 75247
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Raequael Carson M.s., Lpc, Bcba, Lba is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2365914264
PECOS Enrollment IDI20260611001776
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Raequael Carson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Children's Health System Of Texas
2.0 mi
Children
1935 MEDICAL DISTRICT DR
Dallas, TX 75235
  • Reassigned Medicare billing, Texas enrollment
  • 157 clinicians in this Medicare group
NPI 1194743013 (214) 456-1900

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HANNAH LEIGH MARINO LCSW-S
Social Worker (Clinical)
1341 W MOCKINGBIRD LN STE 201W
DALLAS, TX 75247
Dallas County (214) 456-6284
TAYLOR L MAYES LPC
Counselor (Mental Health)
1341 W MOCKINGBIRD LN STE 201W
DALLAS, TX 75247
Dallas County (469) 460-0752
NATHANIEL O NEWELL LCSW
Social Worker (Clinical)
1341 W MOCKINGBIRD LN STE 201W
DALLAS, TX 75247
Dallas County (214) 456-7000
EMILY SHEARER
Behavior Analyst
1341 W MOCKINGBIRD LN STE 201W
DALLAS, TX 75247
Dallas County (214) 456-4200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Raequael Carson's NPI number?

The NPI number for Raequael Carson is 1023436771. It was assigned to this individual provider in the NPPES registry on March 31, 2014.

Where is Raequael Carson located?

Raequael Carson practices at 1341 W Mockingbird Ln Ste 201W, Dallas, TX 75247. The listed phone number is (214) 456-7000.

What is Raequael Carson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Raequael Carson enrolled in Medicare?

Yes. Raequael Carson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Raequael Carson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raequael Carson reassigns Medicare benefits to Children's Health System Of Texas (Dallas, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Raequael Carson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Raequael Carson accept?

Health plans from Blue Cross and Blue Shield of Texas and Cigna Healthcare list Raequael Carson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Raequael Carson was last updated on December 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.