Maria-Jose Fernandez-Diaz, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

201849 Issued in TX

Practice address

1935 Medical District Dr
Dallas, TX 75235-7701

Phone

(844) 856-6926

Fax

(214) 867-5383

NPI assigned

Jan 23, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Maria Jose Fernandez Diaz Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1275687204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2777 N STEMMONS FREEWAY",
            "address_2": "MAIL STOP ST4.04-BH",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75207",
            "telephone_number": "844-856-6926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 MEDICAL DISTRICT DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752357701",
            "telephone_number": "844-856-6926",
            "fax_number": "214-867-5383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ-DIAZ",
        "first_name": "MARIA-JOSE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "201849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200440760A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11759290",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "853958",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA JOSE",
            "last_name": "FERNANDEZ DIAZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anjali Jasmine Theresa Fernandes, MD
• Valentino FJ Fernandes, M.D.
• A'Sa Mariah Fernandez Evans, LMSW
• Hanen Fernandez Rojas, DO
• Kimberly Fernandez Trahan, MD
• Aaron Jordan Fernandez, M.D.
• Ana Laura Fernandez, RN
• Cathy A Fernandez, FNPC
• Ernesto M Fernandez, MD
• Gretchen Fernandez

• Marriage & Family Therapist in Dallas, TX
• Providers in Dallas, TX by specialty
• Marriage & Family Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; 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.