Individual provider Active NPI

Jane Roxanne Fabela, M. ED. LMFTA

  • Marriage & Family Therapist
  • Fort Worth, TX
National Provider Identifier
1275342354
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
205856 Issued in TX
Practice address
3041 Spotted Owl Dr
Fort Worth, TX 76244-4730
Phone
(817) 203-4869
NPI assigned
Jan 3, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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 205856 TX Primary

Addresses

Primary practice location

3041 Spotted Owl Dr
Fort Worth, TX 76244-4730

Mailing address

PO Box 271
Keller, TX 76244-0271

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

LicenseStateTypeSpecialty
205856TXMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Nest Counseling and Consulting PLLC CurrentSince Mar 24, 2025 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.

NPI Registry JSON

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

{
    "created_epoch": "1735862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1275342354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 271",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762440271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3041 SPOTTED OWL DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762444730",
            "telephone_number": "817-203-4869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABELA",
        "first_name": "JANE",
        "middle_name": "ROXANNE",
        "credential": "M. ED. LMFTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-03",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "205856",
            "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 Jan 3, 2025; 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.