Individual provider Active NPI

Maureen Joan Lumley, PH.D., L.M. F.T.

  • Marriage & Family Therapist
  • Southlake, TX
National Provider Identifier
1821154246
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
1207 S White Chapel Blvd
Suite 140
Southlake, TX 76092-9314
Phone
(214) 755-4107
Fax
(817) 416-1047
NPI assigned
Dec 29, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 TX Primary

Addresses

Primary practice location

1207 S White Chapel Blvd
Suite 140
Southlake, TX 76092-9314

Mailing address

607 Shady Brook CT
Southlake, TX 76092-7212
Phone (214) 755-4107

Other identifiers 4

IdentifierTypeStateIssuer
7638159OtherTXAETNA
LUML93216OtherTXAAMFT
9381325OtherTXPHCS
8152-4289OtherTXAPA

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
4673 45137TXMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1821154246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 SHADY BROOK CT",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760927212",
            "telephone_number": "214-755-4107",
            "fax_number": "817-416-1047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 S WHITE CHAPEL BLVD",
            "address_2": "SUITE 140",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760929314",
            "telephone_number": "214-755-4107",
            "fax_number": "817-416-1047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUMLEY",
        "first_name": "MAUREEN",
        "middle_name": "JOAN",
        "name_prefix": "Dr.",
        "credential": "PH.D., L.M. F.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7638159",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AAMFT",
            "identifier": "LUML93216",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "9381325",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APA",
            "identifier": "8152-4289",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southlake, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.