Individual provider Active NPI

Noel Judith Agoston Lopez-Freeman, M.A.

  • Marriage & Family Therapist
  • Highland Village, TX
National Provider Identifier
1679690713
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
216 Lakeland Dr
Highland Village, TX 75077-6914
Phone
(213) 999-3456
NPI assigned
Mar 23, 2007
Last updated
Mar 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
43215CAMDMarriage & Family Therapist
204945TXMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Marriage Therapy for Medical Professionals PLLC Marriage & Family Therapist CurrentSince Jan 28, 2024 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.

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

Verify at the official NPI Registry.