Active NPI
Associated Family Therapists
- Clinical Psychologist
- Texarkana, TX
National Provider Identifier
1861670234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 33116
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.