Individual provider Active NPI

Joan E McBride, L.M.F.T.

  • Marriage & Family Therapist
  • Friendswood, TX
National Provider Identifier
1285791095
Registry record updated Sep 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
5213 Issued in TX
Practice address
150 W Shadowbend Ave
Suite 100
Friendswood, TX 77546-3968
Phone
(281) 482-6164
Fax
(281) 576-9304
NPI assigned
Jan 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2012

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 5213 TX Primary

Addresses

Primary practice location

150 W Shadowbend Ave
Suite 100
Friendswood, TX 77546-3968

Mailing address

150 W Shadowbend Ave
Suite 100
Friendswood, TX 77546-3968
Phone (281) 482-6164

Other names 1

  • Joan M Smock Former name

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
5213TXMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347235200000",
    "number": "1285791095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 W SHADOWBEND AVE",
            "address_2": "SUITE 100",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775463968",
            "telephone_number": "281-482-6164",
            "fax_number": "281-576-9304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W SHADOWBEND AVE",
            "address_2": "SUITE 100",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775463968",
            "telephone_number": "281-482-6164",
            "fax_number": "281-576-9304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBRIDE",
        "first_name": "JOAN",
        "middle_name": "E",
        "credential": "L.M.F.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2012-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "5213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOAN",
            "last_name": "SMOCK",
            "middle_name": "M",
            "credential": "L.M.F.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Friendswood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.