Individual provider Active NPI

Nathan Giles Futrell, M.A., LPC

  • Professional Counselor
  • Colleyville, TX
National Provider Identifier
1265783542
Registry record updated Sep 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
66067 Issued in TX
Practice address
5009 Thompson Ter
Ste 103
Colleyville, TX 76034-5850
Phone
(817) 281-6822
Fax
(817) 503-1996
NPI assigned
Sep 26, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 66067 TX Primary

Addresses

Primary practice location

5009 Thompson Ter
Ste 103
Colleyville, TX 76034-5850

Mailing address

5009 Thompson Ter
Ste 103
Colleyville, TX 76034-5850
Phone (817) 281-6822

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
66067TXMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1348617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348617600000",
    "number": "1265783542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5009 THOMPSON TER",
            "address_2": "STE 103",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760345850",
            "telephone_number": "817-281-6822",
            "fax_number": "817-503-1996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5009 THOMPSON TER",
            "address_2": "STE 103",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760345850",
            "telephone_number": "817-281-6822",
            "fax_number": "817-503-1996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUTRELL",
        "first_name": "NATHAN",
        "middle_name": "GILES",
        "credential": "M.A., LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-26",
        "last_updated": "2012-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "66067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colleyville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; 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.