Alysse Marie Fawcett, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

203620 Issued in TX

Practice address

230 N Park Blvd Ste 103
Grapevine, TX 76051-6981

Phone

(214) 983-6726

NPI assigned

Jan 30, 2022

Last updated

Jan 13, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1643500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1285387340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 TIMBER RIDGE PKWY",
            "city": "SEVERANCE",
            "state": "CO",
            "postal_code": "805502966",
            "telephone_number": "970-218-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 N PARK BLVD STE 103",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760516981",
            "telephone_number": "214-983-6726"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "409 Timber Ridge Pkwy",
            "address_purpose": "LOCATION",
            "city": "Severance",
            "state": "CO",
            "postal_code": "805502966",
            "country_code": "US",
            "telephone_number": "970-218-0010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAWCETT",
        "first_name": "ALYSSE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-30",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "0002220",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "203620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Lorraine Fancher, LCSW
• Jill Elaine Fanelli, M.A, CCC/SLP
• Kara Charlotte Farley
• Nancy K. Farrar, P.A.
• Alexa Farrell, HIS
• Cameron Fazeli, DO
• Richard J. Feingold, D.O.
• Leah Marie Fennema, MS, BCBA
• Julie Renee Ference, PHARMD
• Kelly Lynn Ferguson, AGACNP

• Marriage & Family Therapist in Grapevine, TX
• Providers in Grapevine, 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 Jan 13, 2023; 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.