Mypathcounseling, PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

69479 Issued in TX

Legal business name

MYPATHCOUNSELING, PLLC

Practice address

5924 Royal LN
Suite 265
Dallas, TX 75230-3863

Phone

(214) 945-2599

NPI assigned

Jul 15, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Christiane Roehrborn, SLP, LCDC, LPC, LMFT

Title

Owner/Therapist

Phone

(214) 945-2599

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436918400000",
    "number": "1780068262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5924 ROYAL LN",
            "address_2": "SUITE 265",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752303863",
            "telephone_number": "214-945-2599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5924 ROYAL LN",
            "address_2": "SUITE 265",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752303863",
            "telephone_number": "214-945-2599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYPATHCOUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-15",
        "last_updated": "2015-07-15",
        "status": "A",
        "authorized_official_last_name": "ROEHRBORN",
        "authorized_official_first_name": "CHRISTIANE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "214-945-2599",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "SLP, LCDC, LPC, LMFT"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "11829",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "69479",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "201916",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Dallas, TX
• Providers in Dallas, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.

Verify at the official NPI Registry.