Individual provider Active NPI

Sunday Dieke, LMFT

  • Marriage & Family Therapist
  • Fort Worth, TX
National Provider Identifier
1346786233
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
202060 Issued in TX
Practice address
10000 Calcite Dr
Fort Worth, TX 76131-3398
Phone
(817) 372-3697
NPI assigned
Jan 16, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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 202060 TX Primary

Addresses

Primary practice location

10000 Calcite Dr
Fort Worth, TX 76131-3398

Mailing address

1901 Central Dr Ste 305
Bedford, TX 76021-5869
Phone (682) 298-6448

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240219001527 TX Practitioner - Marriage and Family Therapist 9931543972 Reassigns benefits to 1 organization
Practice locations: Bedford, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Circle Counseling LLC Marriage & Family Therapist CurrentSince Apr 1, 2024 Accepting new patients
The Parenting Center Marriage & Family Therapist CurrentSince Feb 2, 2024 Accepting new patients

Locations

1901 Central Dr
Ste 305
Bedford, TX 76021
Phone (682) 298-6448

2928 W 5th St
Ft Worth, TX 76107
Phone (817) 332-6348

Organizations & group practices 2

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": "1484524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1346786233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 CENTRAL DR STE 305",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760215869",
            "telephone_number": "682-298-6448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 CALCITE DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761313398",
            "telephone_number": "817-372-3697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEKE",
        "first_name": "SUNDAY",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-01-16",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "202060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.