Active NPI
Betsy Marie Frederick, MMFT, LMFT ASSOCIATE
- Marriage & Family Therapist
- Granbury, TX
National Provider Identifier
1881560175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 206054
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 206054 | TX | MD | Marriage & 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.