Individual provider Active NPI

Monica Urbaniak, LMFTS

  • Marriage & Family Therapist
  • Dallas, TX
National Provider Identifier
1124536842
Registry record updated Jan 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
5120 Issued in TX
Practice address
6600 Lyndon B Johnson Fwy Ste 240
Dallas, TX 75240-6550
Phone
(214) 347-9765
NPI assigned
Jan 16, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2018

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 5120 TX Primary

Addresses

Primary practice location

6600 Lyndon B Johnson Fwy Ste 240
Dallas, TX 75240-6550

Mailing address

507 Cordova St
Dallas, TX 75223-1223
Phone (214) 952-5174

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Previously, effective Sep 16, 2024 through Sep 16, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5120TXMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1516060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516060800000",
    "number": "1124536842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 CORDOVA ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752231223",
            "telephone_number": "214-952-5174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 LYNDON B JOHNSON FWY STE 240",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752406550",
            "telephone_number": "214-347-9765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URBANIAK",
        "first_name": "MONICA",
        "credential": "LMFTS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-16",
        "last_updated": "2018-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "5120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.