Individual provider Active NPI

Betsy Marie Frederick, MMFT, LMFT ASSOCIATE

  • Marriage & Family Therapist
  • Granbury, TX
National Provider Identifier
1881560175
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
206054 Issued in TX
Practice address
5310 E US Highway 377 Ste 200
Granbury, TX 76049-7849
Phone
(325) 244-8338
NPI assigned
Oct 14, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 206054 TX Primary

Addresses

Primary practice location

5310 E US Highway 377 Ste 200
Granbury, TX 76049-7849

Mailing address

3000 Karen Way
Granbury, TX 76049-2989

Other practice location 1

3000 Karen Way
Granbury, TX 76049-2989
Phone (325) 244-8338

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

LicenseStateTypeSpecialty
206054TXMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1760400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1881560175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 KAREN WAY",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760492989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5310 E US HIGHWAY 377 STE 200",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760497849",
            "telephone_number": "325-244-8338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 Karen Way",
            "address_purpose": "LOCATION",
            "city": "Granbury",
            "state": "TX",
            "postal_code": "760492989",
            "country_code": "US",
            "telephone_number": "325-244-8338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREDERICK",
        "first_name": "BETSY",
        "middle_name": "MARIE",
        "credential": "MMFT, LMFT ASSOCIATE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-14",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "206054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granbury, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; 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.