Individual provider Active NPI

Nicolette Betancourt

  • Marriage & Family Therapist
  • Dallas, TX
National Provider Identifier
1821917279
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
203883 Issued in TX
Practice address
9696 Skillman St Ste 170
Dallas, TX 75243-8253
Phone
(469) 680-3500
NPI assigned
Jul 10, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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 203883 TX Primary

Addresses

Primary practice location

9696 Skillman St Ste 170
Dallas, TX 75243-8253

Mailing address

3133 Glazner Dr
Forney, TX 75126-3454
Phone (817) 586-6166

Other practice location 1

3133 Glazner Dr
Forney, TX 75126-3454
Phone (817) 586-6166

Other names 1

  • Nicolette Aguon Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas County Mental Health & Mental Retardation Center CurrentSince Jul 30, 2026 Accepting new patients

Locations

9696 Skillman St
Ste 170
Dallas, TX 75243
Phone (469) 680-3500

3242 Remond Dr
Dallas, TX 75211

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1783641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1821917279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3133 GLAZNER DR",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751263454",
            "telephone_number": "817-586-6166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9696 SKILLMAN ST STE 170",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752438253",
            "telephone_number": "469-680-3500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3133 Glazner Dr",
            "address_purpose": "LOCATION",
            "city": "Forney",
            "state": "TX",
            "postal_code": "751263454",
            "country_code": "US",
            "telephone_number": "817-586-6166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BETANCOURT",
        "first_name": "NICOLETTE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-10",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "203883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLETTE",
            "last_name": "AGUON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.