Active NPI
Christina Pey-Ru Chou, LMFT
- Marriage & Family Therapist
- Fort Worth, TX
National Provider Identifier
1659446771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 201211
- Practice address
- 1616 Park Place Ave.
Fort Worth, TX 76110 - Phone
- (817) 921-2401
- Fax
- (817) 921-2405
- NPI assigned
- Nov 22, 2006
- Last updated
- Feb 8, 2010
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | NU | ||
| Marriage & Family Therapist | 106H00000X | 201211 | TX | Primary |
Addresses
Primary practice location
1616 Park Place Ave.
Fort Worth, TX 76110
Mailing address
1616 Park Place Ave.
Fort Worth, TX 76110
Phone (817) 921-2401
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 |
|---|---|---|---|
| 201211 | TX | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Art Station | 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": "1164153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265587200000",
"number": "1659446771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1616 PARK PLACE AVE.",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "76110",
"telephone_number": "817-921-2401",
"fax_number": "817-921-2405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1616 PARK PLACE AVE.",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "76110",
"telephone_number": "817-921-2401",
"fax_number": "817-921-2405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOU",
"first_name": "CHRISTINA",
"middle_name": "PEY-RU",
"name_prefix": "Ms.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-22",
"last_updated": "2010-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "201211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.