Individual provider Active NPI

Christian Love Hutcheson, LPC-S, LMFT-S

  • Marriage & Family Therapist
  • Southlake, TX
National Provider Identifier
1114124880
Registry record updated Jan 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
201046 Issued in TX
Practice address
211 E Southlake Blvd Ste 113
Southlake, TX 76092-6274
Phone
(817) 296-2255
NPI assigned
Jun 27, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 61170 TX
Marriage & Family Therapist 106H00000X 201046 TX Primary

Addresses

Primary practice location

211 E Southlake Blvd Ste 113
Southlake, TX 76092-6274

Mailing address

211 E Southlake Blvd Ste 113
Southlake, TX 76092-6274
Phone (817) 296-2255

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 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
201046TXMDMarriage & Family Therapist
61170TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579478400000",
    "number": "1114124880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 E SOUTHLAKE BLVD STE 113",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926274",
            "telephone_number": "817-296-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E SOUTHLAKE BLVD STE 113",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926274",
            "telephone_number": "817-296-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTCHESON",
        "first_name": "CHRISTIAN",
        "middle_name": "LOVE",
        "name_prefix": "Dr.",
        "credential": "LPC-S, LMFT-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-27",
        "last_updated": "2020-01-20",
        "certification_date": "2020-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "61170",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "201046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southlake, TX

Sources for this page

Verify at the official NPI Registry.