Organization Active NPI

Marriage Fully Alive Coaching and Counseling

Doing business as Simple Marriage

  • Marriage & Family Therapist
  • McKinney, TX
National Provider Identifier
1760808133
Registry record updated Mar 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
200944 Issued in TX
Legal business name
MARRIAGE FULLY ALIVE COACHING AND COUNSELING
Doing business as
Simple Marriage
Practice address
6951 Virginia Pkwy
Suite 320
McKinney, TX 75070
Phone
(214) 629-6133
NPI assigned
Mar 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2014

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

Authorized official

Name
Dr. Corey David Allan, PH.D.NPI 1639317068
Title
Owner/Director
Phone
(214) 629-6133

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 18693 TX
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 200944 TX Primary

Addresses

Primary practice location

6951 Virginia Pkwy
Suite 320
McKinney, TX 75070

Mailing address

4502 Bellcrest Dr
McKinney, TX 75070-7749
Phone (214) 629-6133

Other names 1

  • Simple Marriage Doing business as

National Provider Directory

National Provider Directory

Locations

6951 Virginia Pkwy
Ste 320
McKinney, TX 75071
Phone (214) 538-3903

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1394409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394409600000",
    "number": "1760808133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4502 BELLCREST DR",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750707749",
            "telephone_number": "214-629-6133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6951 VIRGINIA PKWY",
            "address_2": "SUITE 320",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "75070",
            "telephone_number": "214-629-6133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARRIAGE FULLY ALIVE COACHING AND COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-10",
        "last_updated": "2014-03-10",
        "status": "A",
        "authorized_official_last_name": "ALLAN",
        "authorized_official_first_name": "COREY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "214-629-6133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "18693",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "200944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Simple Marriage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.