Active NPI
Michael Chase Spain, MMFT, LPCS, LMFTS
- Marriage & Family Therapist
- Dallas, TX
National Provider Identifier
1609880475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 4953
- Practice address
- 805 S Vernon Ave
Dallas, TX 75208-6272 - Phone
- (214) 403-5020
- NPI assigned
- Jul 28, 2006
- 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 | 4953 | TX | Primary |
Addresses
Primary practice location
805 S Vernon Ave
Dallas, TX 75208-6272
Mailing address
805 S Vernon Ave
Dallas, TX 75208-6272
Phone (214) 403-5020
Other practice location 1
8131 Lbj Fwy Ste 275
Dallas, TX 75251-1352
Phone (214) 403-5020
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 |
|---|---|---|---|
| 4953 | TX | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salesmanship Club Youth and Family | Marriage & Family Therapist | 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 and National Provider Directory roles.
-
- Psychiatry Physician
- Dallas, TX
- NPI 1962437509
Marriage & Family Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738195200000",
"number": "1609880475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 S VERNON AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752086272",
"telephone_number": "214-403-5020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 S VERNON AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752086272",
"telephone_number": "214-403-5020"
}
],
"practiceLocations": [
{
"address_1": "8131 Lbj Fwy Ste 275",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752511352",
"country_code": "US",
"telephone_number": "214-403-5020",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPAIN",
"first_name": "MICHAEL",
"middle_name": "CHASE",
"name_prefix": "Mr.",
"credential": "MMFT, LPCS, LMFTS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-28",
"last_updated": "2025-01-30",
"certification_date": "2025-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "4953",
"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 Jan 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.