NPIMap

Organization Active NPI

Dabal Marital Counseling

Doing business as Maryellen Dabal, MA, LMFT

  • Marriage & Family Therapist
  • Southlake, TX
National Provider Identifier
1023444932
Registry record updated Oct 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
DABAL MARITAL COUNSELING
Doing business as
Maryellen Dabal, MA, LMFT
Practice address
305 Miron Dr
Southlake, TX 76092-7831
Phone
(817) 876-9958
NPI assigned
Sep 24, 2013
Last updated
Oct 11, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Maryellen Dabal, MA, LMFTNPI 1013232032
Title
Owner
Phone
(817) 876-9958

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X NU Primary

Addresses

Primary practice location

305 Miron Dr
Southlake, TX 76092-7831

Mailing address

305 Miron Dr
Southlake, TX 76092-7831
Phone (817) 876-9958

Other names 1

  • Maryellen Dabal, MA, LMFT Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1379980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412985600000",
    "number": "1023444932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 MIRON DR",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760927831",
            "telephone_number": "817-876-9958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 MIRON DR",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760927831",
            "telephone_number": "817-876-9958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DABAL MARITAL COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-24",
        "last_updated": "2014-10-11",
        "status": "A",
        "authorized_official_last_name": "DABAL",
        "authorized_official_first_name": "MARYELLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-876-9958",
        "authorized_official_credential": "MA, LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maryellen Dabal, MA, LMFT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southlake, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.