Active NPI
Sequoia Family Therapy, PLLC
- Marriage & Family Therapist
- Irving, TX
National Provider Identifier
1053147058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Legal business name
- SEQUOIA FAMILY THERAPY, PLLC
- Practice address
- 1071 Lake Carolyn Parkway
Apt 4064
Irving, TX 75039 - Phone
- (469) 364-9730
- NPI assigned
- Sep 9, 2024
- Last updated
- Sep 9, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Priscilla Guadalupe Dominguez, MFT-ASSOCIATE
- Title
- Managing Member
- Phone
- (469) 364-9730
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | NU | Primary | |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | NU |
Addresses
Primary practice location
1071 Lake Carolyn Parkway
Apt 4064
Irving, TX 75039
Mailing address
539 W Commerce St # 5466
Dallas, TX 75208-1953
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Marriage & Family Therapist
- Dallas, TX
- NPI 1083448955
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725840000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1725840000000",
"number": "1053147058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "539 W COMMERCE ST # 5466",
"city": "DALLAS",
"state": "TX",
"postal_code": "752081953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1071 LAKE CAROLYN PARKWAY",
"address_2": "APT 4064",
"city": "IRVING",
"state": "TX",
"postal_code": "75039",
"telephone_number": "469-364-9730"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEQUOIA FAMILY THERAPY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-09",
"last_updated": "2024-09-09",
"certification_date": "2024-09-09",
"status": "A",
"authorized_official_last_name": "DOMINGUEZ",
"authorized_official_first_name": "PRISCILLA",
"authorized_official_middle_name": "GUADALUPE",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "469-364-9730",
"authorized_official_credential": "MFT-ASSOCIATE"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.