Active NPI
Christopher Keith Stewart, LICENSED PROFESSIONA
- Marriage & Family Therapist
- Fredericksburg, TX
National Provider Identifier
1679845747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 68147
- Practice address
- 150 E Main St
Suite #204
Fredericksburg, TX 78624-4203 - Phone
- (830) 998-4320
- NPI assigned
- Feb 3, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 | 68147 | TX | Primary |
Addresses
Primary practice location
150 E Main St
Suite #204
Fredericksburg, TX 78624-4203
Mailing address
150 E Main St
Suite #204
Fredericksburg, TX 78624-4203
Phone (832) 998-4320
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 |
|---|---|---|---|
| 68147 | TX | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449619200000",
"number": "1679845747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 E MAIN ST",
"address_2": "SUITE #204",
"city": "FREDERICKSBURG",
"state": "TX",
"postal_code": "786244203",
"telephone_number": "832-998-4320",
"fax_number": "830-997-0132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 E MAIN ST",
"address_2": "SUITE #204",
"city": "FREDERICKSBURG",
"state": "TX",
"postal_code": "786244203",
"telephone_number": "830-998-4320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "CHRISTOPHER",
"middle_name": "KEITH",
"name_prefix": "Mr.",
"credential": "LICENSED PROFESSIONA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-02-03",
"last_updated": "2015-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "68147",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fredericksburg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.