NPIMap

Organization Active NPI

Family Tree Counseling, PLLC

  • Community/Behavioral Health Agency
  • Plano, TX
National Provider Identifier
1114476405
Registry record updated Sep 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FAMILY TREE COUNSELING, PLLC
Practice address
3900 American Dr
103
Plano, TX 75075-6191
Phone
(214) 230-1234
NPI assigned
Sep 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2016

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

Authorized official

Name
Angela Martilik
Title
Clinical Director
Phone
(214) 230-1234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

3900 American Dr
103
Plano, TX 75075-6191

Mailing address

3900 American Dr
103
Plano, TX 75075-6191

National Provider Directory

National Provider Directory
Tax ID family
Family Tree Counseling PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3900 American Dr
Ste 103
Plano, TX 75075
Phone (214) 230-1234

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1474934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474934400000",
    "number": "1114476405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 AMERICAN DR",
            "address_2": "103",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750756191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 AMERICAN DR",
            "address_2": "103",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750756191",
            "telephone_number": "214-230-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY TREE COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-27",
        "last_updated": "2016-09-27",
        "status": "A",
        "authorized_official_last_name": "MARTILIK",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "214-230-1234"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2016; 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.