Active NPI
Noel Judith Agoston Lopez-Freeman, M.A.
- Marriage & Family Therapist
- Highland Village, TX
National Provider Identifier
1679690713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 216 Lakeland Dr
Highland Village, TX 75077-6914 - Phone
- (213) 999-3456
- NPI assigned
- Mar 23, 2007
- Last updated
- Mar 27, 2023
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 204945 | TX | |
| Marriage & Family Therapist | 106H00000X | 43215 | CA | |
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
216 Lakeland Dr
Highland Village, TX 75077-6914
Mailing address
PO Box 270055
Flower Mound, TX 75027-0055
Phone (213) 999-3456
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 18, 2024 through Mar 18, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43215 | CA | MD | Marriage & Family Therapist |
| 204945 | TX | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marriage Therapy for Medical Professionals PLLC | Marriage & Family Therapist | Current | Accepting new patients |
Locations
2221 Justin Rd
Flower Mound, TX 75028
Phone (469) 645-0145
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.
-
- Marriage & Family Therapist
- Flower Mound, TX
- NPI 1881455442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679875200000",
"number": "1679690713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 270055",
"city": "FLOWER MOUND",
"state": "TX",
"postal_code": "750270055",
"telephone_number": "213-999-3456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "216 LAKELAND DR",
"city": "HIGHLAND VILLAGE",
"state": "TX",
"postal_code": "750776914",
"telephone_number": "213-999-3456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ-FREEMAN",
"first_name": "NOEL",
"middle_name": "JUDITH AGOSTON",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-23",
"last_updated": "2023-03-27",
"certification_date": "2023-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "204945",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "43215",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Highland Village, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; 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.