Joe Aaron Eastham, L.M.F.T, L.P.C.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

5069 Issued in TX

Practice address

301 S Center St
Suite 500
Arlington, TX 76010-7139

Phone

(817) 300-1590

Fax

(817) 656-1243

NPI assigned

Apr 4, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615075200000",
    "number": "1043332836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4686 BRISTOL TRACE TRL",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762486947",
            "telephone_number": "817-300-1590",
            "fax_number": "817-886-0504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S CENTER ST",
            "address_2": "SUITE 500",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760107139",
            "telephone_number": "817-300-1590",
            "fax_number": "817-656-1243"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8090 Precinct Line Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Colleyville",
            "state": "TX",
            "postal_code": "760347677",
            "country_code": "US",
            "telephone_number": "817-300-1590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EASTHAM",
        "first_name": "JOE",
        "middle_name": "AARON",
        "name_prefix": "Mr.",
        "credential": "L.M.F.T, L.P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2021-03-07",
        "certification_date": "2021-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "18235",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "5069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178746701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Arlington, TX
• Providers in Arlington, TX by specialty
• Marriage & Family Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2021; 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.