Active NPI
Marla Janae Flournoy, LPC, LSSP, BCBA
- Professional Counselor
- Forney, TX
National Provider Identifier
1790076339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 59852
- Practice address
- 10109 Antelope Way
Forney, TX 75126-7879 - Phone
- (214) 893-7795
- Fax
- (972) 564-6966
- NPI assigned
- May 1, 2011
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 59852 | TX | Primary |
| Behavior Analyst | 103K00000X | 1-09-5513 | TX |
Addresses
Primary practice location
10109 Antelope Way
Forney, TX 75126-7879
Mailing address
10109 Antelope Way
Forney, TX 75126-7879
Phone (214) 893-7795
Other names 1
- Marla Janae Young
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 |
|---|---|---|---|
| 59852 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304208000000",
"number": "1790076339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10109 ANTELOPE WAY",
"city": "FORNEY",
"state": "TX",
"postal_code": "751267879",
"telephone_number": "214-893-7795",
"fax_number": "972-564-6966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10109 ANTELOPE WAY",
"city": "FORNEY",
"state": "TX",
"postal_code": "751267879",
"telephone_number": "214-893-7795",
"fax_number": "972-564-6966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLOURNOY",
"first_name": "MARLA",
"middle_name": "JANAE",
"credential": "LPC, LSSP, BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-01",
"last_updated": "2011-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "59852",
"primary": true
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TX",
"license": "1-09-5513",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARLA",
"last_name": "YOUNG",
"middle_name": "JANAE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Forney, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.