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MANDISHA MATTHEWS MARK
NPI 1982364915
Counselor - Professional in Garland, TX

Active since December 17, 2021PECOS Enrolled
2306 GUTHRIE RD STE 260H, GARLAND, TX 75043(469) 290-3080 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mandisha Matthews Mark NPPES

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

MANDISHA MATTHEWS MARK (NPI 1982364915) is an individual professional provider in Garland, Texas, licensed in Texas (83922) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982364915
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMANDISHA MATTHEWS MARK
Location Address2306 GUTHRIE RD STE 260HGarland, TX 75043-5967
Mailing Address513 Via AltosMesquite, TX 75150-4426 · (310) 908-1233
Phone(469) 290-3080
Sole ProprietorYes
Enumeration DateDecember 17, 2021
NPPES CertifiedNovember 23, 2021
✔ NPI 1982364915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in TX · 83922
2306 GUTHRIE RD STE 260H, Garland, TX 75043
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Moda Health Plan, Inc., Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mandisha Matthews Mark is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show Mandisha Mark reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health Specialty Group PA
1,032 mi
Mental Health
110 N CORCORAN ST FL 5
Durham, NC 27701
  • Reassigned Medicare billing, Texas enrollment
  • 315 clinicians in this Medicare group
NPI 1801472634 (323) 205-7088
Grow Healthcare Group PA
1,101 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Texas enrollment
  • 1,573 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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

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

TEXAS HOSPICE PROVIDERS LLC
Hospice Care, Community Based
2306 GUTHRIE RD STE 260H
GARLAND, TX 75043
Dallas County (972) 424-4401

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 Mandisha Mark's NPI number?

The NPI number for Mandisha Mark is 1982364915. It was assigned to this individual provider in the NPPES registry on December 17, 2021.

Where is Mandisha Mark located?

Mandisha Mark practices at 2306 Guthrie Rd Ste 260H, Garland, TX 75043. The listed phone number is (469) 290-3080.

What is Mandisha Mark's specialty?

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

Is Mandisha Mark enrolled in Medicare?

Yes. Mandisha Mark is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mandisha Mark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mandisha Mark reassigns Medicare benefits to 2 organizations: Mental Health Specialty Group PA (Durham, NC) and Grow Healthcare Group PA (Miami, FL). Each 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 Mandisha Mark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mandisha Mark accept?

Health plans from Blue Cross and Blue Shield of Texas, Moda Health Plan, Inc., Oscar Insurance Company and UnitedHealthcare list Mandisha Mark 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 Mandisha Mark was last updated on December 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.