Active NPI
Alison Bailey, LMFT
- Marriage & Family Therapist
- Fort Worth, TX
National Provider Identifier
1194138537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 80124
- Practice address
- 6628 Bryant Irvin Rd Ste 115
Fort Worth, TX 76132-4216 - Phone
- (817) 968-1905
- Fax
- (817) 612-3371
- NPI assigned
- Jun 3, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 202423 | TX | |
| Marriage & Family Therapist | 106H00000X | 80124 | CA | Primary |
Addresses
Primary practice location
6628 Bryant Irvin Rd Ste 115
Fort Worth, TX 76132-4216
Mailing address
9709 Cypress Lake Dr
Crowley, TX 76036-1159
Phone (760) 576-6963
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
| License | State | Type | Specialty |
|---|---|---|---|
| 80124 | CA | MD | Marriage & Family Therapist |
| 202423 | TX | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Untanglife Counseling PLLC | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fort Worth, TX
- NPI 1740929058
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583366400000",
"number": "1194138537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9709 CYPRESS LAKE DR",
"city": "CROWLEY",
"state": "TX",
"postal_code": "760361159",
"telephone_number": "760-576-6963",
"fax_number": "817-612-3371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6628 BRYANT IRVIN RD STE 115",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761324216",
"telephone_number": "817-968-1905",
"fax_number": "817-612-3371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "ALISON",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-03",
"last_updated": "2020-03-05",
"certification_date": "2020-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "202423",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "80124",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.