Organization Active NPI

Associated Family Therapists

  • Clinical Psychologist
  • Texarkana, TX
National Provider Identifier
1861670234
Registry record updated Feb 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
33116 Issued in TX
Legal business name
ASSOCIATED FAMILY THERAPISTS
Practice address
3446 Summerhill Rd
Texarkana, TX 75503-3560
Phone
(903) 334-7261
Fax
(903) 334-7263
NPI assigned
Feb 7, 2008
Last updated
Feb 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2008

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

Authorized official

Name
Mrs. Mary Pat Carlson, L.P.C., L.M.F.T.
Title
Partner
Phone
(903) 334-7261

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 18727 AR
Professional Counselor 101YP2500X 8054 TX
Clinical Psychologist 103TC0700X 86-04P AR
Clinical Psychologist 103TC0700X 33116 TX Primary
Forensic Psychologist 103TF0200X 3316 TX
Forensic Psychologist 103TF0200X 86-04P AR
Marriage & Family Therapist 106H00000X 1831 TX
Marriage & Family Therapist 106H00000X 2644 TX

Addresses

Primary practice location

3446 Summerhill Rd
Texarkana, TX 75503-3560

Mailing address

3446B Summerhill Road
Texarkana, TX 75503
Phone (903) 334-7261

National Provider Directory

National Provider Directory

Locations

3446 Summerhill Rd
Texarkana, TX 75503
Phone (903) 334-7261

3446B Summerhill Rd
Texarkana, TX 75503

NPI Registry JSON

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202342400000",
    "number": "1861670234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3446B SUMMERHILL ROAD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "75503",
            "telephone_number": "903-334-7261",
            "fax_number": "903-334-7263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3446 SUMMERHILL RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755033560",
            "telephone_number": "903-334-7261",
            "fax_number": "903-334-7263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED FAMILY THERAPISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-07",
        "last_updated": "2008-02-07",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "PAT",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "903-334-7261",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L.P.C., L.M.F.T."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AR",
            "license": "18727",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "8054",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AR",
            "license": "86-04P",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "33116",
            "primary": true
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "TX",
            "license": "3316",
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "AR",
            "license": "86-04P",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "1831",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "2644",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Texarkana, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; 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.