Active NPI
Grace Escobar Thomas, M.S.
- Marriage & Family Therapist
- Fort Worth, TX
National Provider Identifier
1871976415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 64388
- Practice address
- 1509B S. University Dr.
212
Fort Worth, TX 76107 - Phone
- (817) 885-7777
- Fax
- (817) 887-1575
- NPI assigned
- Jul 1, 2015
- Sex
- Female
- Sole proprietor
- No
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 | 64388 | TX | Primary |
Addresses
Primary practice location
1509B S. University Dr.
212
Fort Worth, TX 76107
Mailing address
1509B S. University Dr.
Suite 212
Fort Worth, TX 76107
Phone (817) 885-7777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 7, 2024 through Feb 7, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435708800000",
"number": "1871976415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1509B S. UNIVERSITY DR.",
"address_2": "SUITE 212",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "76107",
"telephone_number": "817-885-7777",
"fax_number": "817-887-1575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1509B S. UNIVERSITY DR.",
"address_2": "212",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "76107",
"telephone_number": "817-885-7777",
"fax_number": "817-887-1575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "GRACE",
"middle_name": "ESCOBAR",
"name_prefix": "Mrs.",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-01",
"last_updated": "2015-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "64388",
"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 Jul 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.