Individual provider Active NPI

Paul S Stanford

  • Marriage & Family Therapist
  • Dallas, TX
National Provider Identifier
1881959880
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
202565 Issued in TX
Practice address
9330 Lyndon B Johnson Fwy Ste 1250
Dallas, TX 75243-3436
Phone
(972) 841-1731
Fax
(972) 841-1731
NPI assigned
Jul 6, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LCM532 MD
Marriage & Family Therapist 106H00000X 202565 TX Primary

Addresses

Primary practice location

9330 Lyndon B Johnson Fwy Ste 1250
Dallas, TX 75243-3436

Mailing address

9330 Lyndon B Johnson Fwy Ste 1250
Dallas, TX 75243-3436
Phone (972) 841-1731

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
LCM532MDMDMarriage & Family Therapist
202565TXMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Stanford Couples Counseling, PLLC Marriage & Family Therapist CurrentSince Nov 20, 2022 Accepting new patients

Locations

12810 Hillcrest Rd
Ste B225
Dallas, TX 75230

9330 Lyndon B Johnson Fwy
Ste 1250
Dallas, TX 75243
Phone (972) 841-1731

4311 Oak Lawn Ave
Ste 350
Dallas, TX 75219
Phone (972) 316-6276

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1341532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1881959880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9330 LYNDON B JOHNSON FWY STE 1250",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433436",
            "telephone_number": "972-841-1731",
            "fax_number": "972-841-1731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9330 LYNDON B JOHNSON FWY STE 1250",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433436",
            "telephone_number": "972-841-1731",
            "fax_number": "972-841-1731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANFORD",
        "first_name": "PAUL",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-06",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MD",
            "license": "LCM532",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "202565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; 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.