Active NPI
Carla L Hardy, Med, LMFT,LPC
- Marriage & Family Therapist
- Dallas, TX
National Provider Identifier
1477675171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1841
- Practice address
- 12300 Ford Rd Ste 190
Dallas, TX 75234-8111 - Phone
- (832) 794-1621
- NPI assigned
- Apr 4, 2007
- Last updated
- Jul 15, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6082 | TX | |
| Marriage & Family Therapist | 106H00000X | 1841 | TX | Primary |
Addresses
Primary practice location
12300 Ford Rd Ste 190
Dallas, TX 75234-8111
Mailing address
3401 N Bay Breeze LN
Fort Worth, TX 76179-3849
Phone (832) 794-1621
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841 | Other | TX | LMFT |
| 6082 | Other | TX | LPC |
| 1940 | Other | NBCCHYPNOSIS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6082 | TX | MD | Professional Counselor |
| 1841 | TX | MD | Community Health Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eagle Pain & Stress Clinic, Inc | Professional | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247616000000",
"number": "1477675171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3401 N BAY BREEZE LN",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761793849",
"telephone_number": "832-794-1621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12300 FORD RD STE 190",
"city": "DALLAS",
"state": "TX",
"postal_code": "752348111",
"telephone_number": "832-794-1621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDY, MED",
"first_name": "CARLA",
"middle_name": "L",
"credential": "LMFT,LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-04",
"last_updated": "2009-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "6082",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "1841",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LMFT",
"identifier": "1841",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LPC",
"identifier": "6082",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NBCCHYPNOSIS",
"identifier": "1940",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.