Active NPI
Marcus Tanner, PH.D., LMFT-S
- Marriage & Family Therapist
- Lubbock, TX
National Provider Identifier
1558785287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 202235
- Practice address
- 7021 Kewanee Ave BLDG 10
Lubbock, TX 79424-7048 - Phone
- (806) 319-7400
- NPI assigned
- Feb 17, 2014
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 202235 | TX | Primary |
Addresses
Primary practice location
7021 Kewanee Ave BLDG 10
Lubbock, TX 79424-7048
Mailing address
5717 66TH St Ste 209
Lubbock, TX 79424-1593
Phone (806) 319-7400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 4, 2024 through Jan 4, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 202235 | TX | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healingchoice Family Therapy, PLLC | Marriage & Family Therapist | Current | Accepting new patients |
Locations
5717 66th St
Ste 131
Lubbock, TX 79424
Phone (806) 319-7400
7021 Kewanee Ave
Bldg 10
Lubbock, TX 79424
Phone (806) 319-7400
5717 66th St
Ste 209
Lubbock, TX 79424
Phone (806) 319-7400
7021 Kewanee Ave
Ste 10
Lubbock, TX 79424
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 and National Provider Directory roles.
-
- Marriage & Family Therapist
- Lubbock, TX
- NPI 1376029355
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711929600000",
"number": "1558785287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5717 66TH ST STE 209",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794241593",
"telephone_number": "806-319-7400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7021 KEWANEE AVE BLDG 10",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794247048",
"telephone_number": "806-319-7400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANNER",
"first_name": "MARCUS",
"name_prefix": "Dr.",
"credential": "PH.D., LMFT-S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-02-17",
"last_updated": "2024-04-01",
"certification_date": "2024-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "202235",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.