Active NPI
Marriage Fully Alive Coaching and Counseling
Doing business as Simple Marriage
- Marriage & Family Therapist
- McKinney, TX
National Provider Identifier
1760808133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 200944
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 18693 | TX | |
| Marriage & Family Therapist | 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
National Provider Directory
National Provider DirectoryLocations
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.