Active NPI
Mary Ellen Courtney
- Professional Counselor
- Dallas, TX
National Provider Identifier
1003743691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 96092
- Practice address
- 2803 Taylor St
Dallas, TX 75226-1907 - Phone
- (214) 701-7542
- NPI assigned
- May 6, 2026
- Last updated
- May 21, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 96092 | TX | Primary |
Addresses
Primary practice location
2803 Taylor St
Dallas, TX 75226-1907
Mailing address
6646 E Lovers LN Apt 501
Dallas, TX 75214-1618
Phone (318) 469-8145
Other practice location 1
700 E Park Blvd Ste 206
Plano, TX 75074-5472
Phone (972) 212-9175
Other names 1
- Mary Ellen Anderson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 96092 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779321600000",
"number": "1003743691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6646 E LOVERS LN APT 501",
"city": "DALLAS",
"state": "TX",
"postal_code": "752141618",
"telephone_number": "318-469-8145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2803 TAYLOR ST",
"city": "DALLAS",
"state": "TX",
"postal_code": "752261907",
"telephone_number": "214-701-7542"
}
],
"practiceLocations": [
{
"address_1": "700 E Park Blvd Ste 206",
"address_purpose": "LOCATION",
"city": "Plano",
"state": "TX",
"postal_code": "750745472",
"country_code": "US",
"telephone_number": "972-212-9175",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COURTNEY",
"first_name": "MARY",
"middle_name": "ELLEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-05-06",
"last_updated": "2026-05-21",
"certification_date": "2026-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "96092",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "ANDERSON",
"middle_name": "ELLEN",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.