Individual provider Active NPI

Dagmara Svetcov, LMFT

  • Marriage & Family Therapist
  • Allen, TX
National Provider Identifier
1114048097
Registry record updated Nov 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
203154 Issued in TX
Practice address
550 S Watters Rd Ste 263
Allen, TX 75013-5231
Phone
(972) 793-8488
Fax
(844) 726-0543
NPI assigned
Apr 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC45387 CA
Marriage & Family Therapist 106H00000X 203154 TX Primary

Addresses

Primary practice location

550 S Watters Rd Ste 263
Allen, TX 75013-5231

Mailing address

6604 Erin LN
Parker, TX 75002-5438
Phone (972) 793-8488

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

State licenses

LicenseStateTypeSpecialty
MFC45387CAMDMarriage & Family Therapist
203154TXMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Self and Other Counseling, PLLC Marriage & Family Therapist Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542326400000",
    "number": "1114048097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6604 ERIN LN",
            "city": "PARKER",
            "state": "TX",
            "postal_code": "750025438",
            "telephone_number": "972-793-8488",
            "fax_number": "844-726-0543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 S WATTERS RD STE 263",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750135231",
            "telephone_number": "972-793-8488",
            "fax_number": "844-726-0543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SVETCOV",
        "first_name": "DAGMARA",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2018-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC45387",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "203154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2018; 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.