Active NPI
Paul Massingill
- Marriage & Family Therapist
- Fort Worth, TX
National Provider Identifier
1851162291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 205055
- Practice address
- 6300 Ridglea PL Ste 212
Fort Worth, TX 76116-5707 - Phone
- (817) 480-4632
- NPI assigned
- Jan 15, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 205055 | TX | Primary |
Addresses
Primary practice location
6300 Ridglea PL Ste 212
Fort Worth, TX 76116-5707
Mailing address
7009 Castle Creek Dr E
Fort Worth, TX 76132-3705
Phone (305) 282-1929
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 |
|---|---|---|---|
| 205055 | TX | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705276800000",
"number": "1851162291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7009 CASTLE CREEK DR E",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761323705",
"telephone_number": "305-282-1929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6300 RIDGLEA PL STE 212",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761165707",
"telephone_number": "817-480-4632"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASSINGILL",
"first_name": "PAUL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-01-15",
"last_updated": "2024-01-15",
"certification_date": "2024-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "205055",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.