Active NPI
Marilyn J Eutsler, LMFT
- Marriage & Family Therapist
- Flower Mound, TX
National Provider Identifier
1093723751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 6101 Morriss Rd
Flower Mound, TX 75028-3712 - Phone
- (972) 424-9212
- Fax
- (972) 509-1450
- NPI assigned
- Aug 4, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | TX | Primary |
Addresses
Primary practice location
6101 Morriss Rd
Flower Mound, TX 75028-3712
Mailing address
6101 Morriss Rd
Flower Mound, TX 75028-3712
Phone (972) 424-9212
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00180B | Other | TX | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 15, 2024 through Jan 15, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4197 | TX | MD | Behavioral Analyst |
| 4197-45030 | TX | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093723751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6101 MORRISS RD",
"city": "FLOWER MOUND",
"state": "TX",
"postal_code": "750283712",
"telephone_number": "972-424-9212",
"fax_number": "972-509-1450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6101 MORRISS RD",
"city": "FLOWER MOUND",
"state": "TX",
"postal_code": "750283712",
"telephone_number": "972-424-9212",
"fax_number": "972-509-1450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EUTSLER",
"first_name": "MARILYN",
"middle_name": "J",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "00180B",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Flower Mound, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.