Individual provider Active NPI

Christine Marie Waisner

  • Marriage & Family Therapist
  • Royse City, TX
National Provider Identifier
1447870530
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
6220 Tawakoni LN
Royse City, TX 75189-0379
Phone
(214) 247-6037
NPI assigned
Apr 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 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 Primary

Addresses

Primary practice location

6220 Tawakoni LN
Royse City, TX 75189-0379

Mailing address

6220 Tawakoni LN
Royse City, TX 75189-0379
Phone (214) 247-6037

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 1, 2024 through Feb 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4045MNMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Leapfrog Counseling and Wellness, PLLC CurrentSince Oct 6, 2024 Accepting new patients
Cardinal Psychotherapy, LLC PastSince Aug 14, 2022 Accepting new patients

Locations

2600 Ridge Rd
Rockwall, TX 75087
Phone (214) 247-6037

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": "1587340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1447870530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6220 TAWAKONI LN",
            "city": "ROYSE CITY",
            "state": "TX",
            "postal_code": "751890379",
            "telephone_number": "214-247-6037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6220 TAWAKONI LN",
            "city": "ROYSE CITY",
            "state": "TX",
            "postal_code": "751890379",
            "telephone_number": "214-247-6037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAISNER",
        "first_name": "CHRISTINE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-20",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royse City, TX

Sources for this page

Verify at the official NPI Registry.