Active NPI
Diane L Pascoe, PHD, LMFT
- Marriage & Family Therapist
- Cedar Park, TX
National Provider Identifier
1861552697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1867
- Practice address
- 1001 Cypress Creek Rd Ste 403
Cedar Park
Cedar Park, TX 78613-4470 - Phone
- (512) 289-4664
- NPI assigned
- Dec 11, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 1867 | TX | Primary |
Addresses
Primary practice location
1001 Cypress Creek Rd Ste 403
Cedar Park
Cedar Park, TX 78613-4470
Mailing address
1001 Cypress Creek Rd Ste 403
Cedar Park
Cedar Park, TX 78613-4470
Phone (512) 289-4664
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 028486101 | Medicaid | TX | |
| 2756LC | Other | TX | BLUE CROSS/BLUE SHIELD |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1867 | TX | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331337600000",
"number": "1861552697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 CYPRESS CREEK RD STE 403",
"address_2": "CEDAR PARK",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786134470",
"telephone_number": "512-289-4664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 CYPRESS CREEK RD STE 403",
"address_2": "CEDAR PARK",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786134470",
"telephone_number": "512-289-4664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASCOE",
"first_name": "DIANE",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "PHD, LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-11",
"last_updated": "2012-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "1867",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "028486101",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "2756LC",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cedar Park, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.