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: July 19, 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
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

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

Social Worker (Clinical)
1341 W MOCKINGBIRD LN STE 201W
DALLAS, TX 75247
Social Worker (Clinical)
1341 W MOCKINGBIRD LN STE 201W
DALLAS, TX 75247
Counselor (Mental Health)
1341 W MOCKINGBIRD LN STE 201W
DALLAS, TX 75247
Behavior Analyst
1341 W MOCKINGBIRD LN STE 201W
DALLAS, TX 75247

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023436771, enumerated as an "individual" on March 31, 2014.

The provider is located at 1341 W MOCKINGBIRD LN STE 201W DALLAS, TX 75247 and the phone number is (214) 456-7000.

Counselor with taxonomy code 101YP2500X and a focus in Professional.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas, Oscar. Please consult your insurance carrier or call the provider to verify.