Active NPI
Elizabeth Tann Frisby, B.A., M.ED., ED.D
- Professional Counselor
- Bullard, TX
National Provider Identifier
1497398341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 15195
- Practice address
- 11646 FM 855 W
Bullard, TX 75757-9101 - Phone
- (903) 724-5425
- NPI assigned
- Oct 23, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 15195 | TX | Primary |
Addresses
Primary practice location
11646 FM 855 W
Bullard, TX 75757-9101
Mailing address
PO Box 1012
Bullard, TX 75757-1012
Phone (903) 724-5425
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
- Credentials
- Bachelor of Arts, Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15195 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571788800000",
"number": "1497398341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1012",
"city": "BULLARD",
"state": "TX",
"postal_code": "757571012",
"telephone_number": "903-724-5425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11646 FM 855 W",
"city": "BULLARD",
"state": "TX",
"postal_code": "757579101",
"telephone_number": "903-724-5425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRISBY",
"first_name": "ELIZABETH",
"middle_name": "TANN",
"name_prefix": "Dr.",
"credential": "B.A., M.ED., ED.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-23",
"last_updated": "2019-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "15195",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bullard, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.