Active NPI
Marjean Laughlin Nelson, M ED LPC
- Professional Counselor
- Keller, TX
National Provider Identifier
1780771709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 18704
- Practice address
- 1670 Keller Pkwy
Suite 261
Keller, TX 76248 - Phone
- (817) 741-7999
- Fax
- (817) 741-7015
- NPI assigned
- Oct 10, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 8383 | TX | |
| Professional Counselor | 101YP2500X | 18704 | TX | Primary |
Addresses
Primary practice location
1670 Keller Pkwy
Suite 261
Keller, TX 76248
Mailing address
1670 Keller Pkwy
Suite 261
Keller, TX 76248
Phone (817) 741-7999
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 |
|---|---|---|---|
| 18704 | TX | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190073600000",
"number": "1780771709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1670 KELLER PKWY",
"address_2": "SUITE 261",
"city": "KELLER",
"state": "TX",
"postal_code": "76248",
"telephone_number": "817-741-7999",
"fax_number": "817-741-7015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1670 KELLER PKWY",
"address_2": "SUITE 261",
"city": "KELLER",
"state": "TX",
"postal_code": "76248",
"telephone_number": "817-741-7999",
"fax_number": "817-741-7015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "MARJEAN",
"middle_name": "LAUGHLIN",
"name_prefix": "Mrs.",
"credential": "M ED LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-10",
"last_updated": "2007-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "8383",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "18704",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Keller, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.