Individual provider Active NPI

Nancy Rosenberg, MA, LMFT-A

  • Marriage & Family Therapist
  • Dallas, TX
National Provider Identifier
1063163574
Registry record updated Jan 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
204353 Issued in TX
Practice address
9330 LBJ Fwy # 1250
Dallas, TX 75243-3436
Phone
(972) 841-1731
NPI assigned
Jan 16, 2022
Last updated
Jan 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 204353 TX Primary

Addresses

Primary practice location

9330 LBJ Fwy # 1250
Dallas, TX 75243-3436

Mailing address

9330 LBJ Fwy # 1250
Dallas, TX 75243-3436
Phone (972) 841-1731

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
204353TXMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Stanford Couples Counseling, PLLC Marriage & Family Therapist CurrentSince Nov 20, 2022 Accepting new patients

Locations

9330 Lyndon B Johnson Fwy
Ste 1250
Dallas, TX 75243
Phone (972) 841-1731

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1642291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642291200000",
    "number": "1063163574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9330 LBJ FWY # 1250",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433436",
            "telephone_number": "972-841-1731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9330 LBJ FWY # 1250",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433436",
            "telephone_number": "972-841-1731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "NANCY",
        "credential": "MA, LMFT-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-16",
        "last_updated": "2022-01-16",
        "certification_date": "2022-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "204353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 16, 2022; 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.