NPIMap

Organization Active NPI

Fertile Insight Therapeutic Services

  • Adult Mental Health Clinic/Center
  • Dallas, TX
National Provider Identifier
1508399676
Registry record updated Apr 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
63328 Issued in TX
Legal business name
FERTILE INSIGHT THERAPEUTIC SERVICES
Practice address
1014 Haines Ave
Dallas, TX 75208-4039
Phone
(214) 927-2196
NPI assigned
Apr 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Elizabeth Busbey, LPC-SNPI 1942657044
Title
Owner/Therapist
Phone
(214) 927-2196

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 63328 TX Primary

Addresses

Primary practice location

1014 Haines Ave
Dallas, TX 75208-4039

Mailing address

1014 Haines Ave
Dallas, TX 75208-4039
Phone (214) 927-2196

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1491436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491436800000",
    "number": "1508399676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 HAINES AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752084039",
            "telephone_number": "214-927-2196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 HAINES AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752084039",
            "telephone_number": "214-927-2196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERTILE INSIGHT THERAPEUTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-06",
        "last_updated": "2017-04-06",
        "status": "A",
        "authorized_official_last_name": "BUSBEY",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "214-927-2196",
        "authorized_official_credential": "LPC-S"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "TX",
            "license": "63328",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 6, 2017; 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.