Individual provider Active NPI

Maria Siqueiros, LMFT-A

  • Marriage & Family Therapist
  • Flower Mound, TX
National Provider Identifier
1811618903
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
204415 Issued in TX
Practice address
3700 River Walk Dr
Flower Mound, TX 75028-1860
Phone
(972) 945-7017
NPI assigned
Sep 7, 2022
Last updated
Sep 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 204415 TX Primary

Addresses

Primary practice location

3700 River Walk Dr
Flower Mound, TX 75028-1860

Mailing address

3150 Garrison Rd Apt 928
Corinth, TX 76210-1820
Phone (915) 471-2903

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address maria@stanfordcouplescounseling.com Stanford Couples Counseling, PLLC

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

LicenseStateTypeSpecialty
204415TXMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1662508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1811618903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 GARRISON RD APT 928",
            "city": "CORINTH",
            "state": "TX",
            "postal_code": "762101820",
            "telephone_number": "915-471-2903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 RIVER WALK DR",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750281860",
            "telephone_number": "972-945-7017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIQUEIROS",
        "first_name": "MARIA",
        "credential": "LMFT-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-07",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "204415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "maria@stanfordcouplescounseling.com",
            "affiliation": "Y",
            "endpointDescription": "Work Email",
            "affiliationName": "Stanford Couples Counseling, PLLC",
            "address_1": "3700 River Walk Dr",
            "city": "Flower Mound",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750281860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Flower Mound, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; 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.