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MRS. MARYELLEN DABAL LMFT
NPI 1013232032
Marriage & Family Therapist in Southlake, TX

Active since April 01, 2010PECOS EnrolledAccepts Medicare Assignment
305 MIRON DR, SOUTHLAKE, TX 76092(817) 876-9958 Get Directions Write a Review

NPPES record last updated: October 11, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Maryellen Dabal Lmft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MARYELLEN DABAL LMFT (NPI 1013232032) is an individual marriage & family therapist in Southlake, Texas, licensed in Texas (201342) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1013232032
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMRS. MARYELLEN DABALCredential: LMFT
Location Address305 MIRON DRSouthlake, TX 76092-7831
Mailing Address305 Miron DrSouthlake, TX 76092-7831 · (817) 876-9958
Phone(817) 876-9958
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateApril 1, 2010
Last NPPES UpdateOctober 11, 2014
✔ NPI 1013232032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in TX · 201342
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
305 MIRON DR, Southlake, TX 76092
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Maryellen Dabal Lmft is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID547603581
PECOS Enrollment IDI20240207001535, I20250611002540
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Maryellen Dabal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Doctor On Demand Professionals P C
1,464 mi
Family Medicine
1 CALIFORNIA ST STE 2300
San Francisco, CA 94111
  • Reassigned Medicare billing, Oklahoma and Texas enrollments
  • 2 clinicians in this Medicare group
NPI 1174931448 (800) 997-6196

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DABAL MARITAL COUNSELING
Marriage & Family Therapist
305 MIRON DR
SOUTHLAKE, TX 76092
Tarrant County (817) 876-9958
SOUTHLAKE SERENITY PSYCHIATRY
Psychiatry & Neurology (Psychiatry)
305 MIRON DR
SOUTHLAKE, TX 76092
Tarrant County (817) 203-3721
REBECCA B. LAPIDUS, PHD, PC
Community/Behavioral Health
305 MIRON DR
SOUTHLAKE, TX 76092
Tarrant County (817) 601-5475
DR. LORI ANN SHAHIDI DO
Psychiatry & Neurology (Psychiatry)
305 MIRON DR
SOUTHLAKE, TX 76092
Tarrant County (817) 488-1950
DR. DANA BETH TURNBULL PH.D.
Psychologist (Clinical)
305 MIRON DR
SOUTHLAKE, TX 76092
Tarrant County (817) 571-2899
KRISTA KULESZA, PH.D., LLC
Psychologist
305 MIRON DR
SOUTHLAKE, TX 76092
Tarrant County (682) 554-2946
DR. NEYSA L. JOHNSON M.D.
Psychiatry & Neurology (Psychiatry)
305 MIRON DR
SOUTHLAKE, TX 76092
Tarrant County (817) 479-9363
KRISTA KULESZA PHD
Psychologist (Clinical)
305 MIRON DR
SOUTHLAKE, TX 76092
Tarrant County (682) 554-2946

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maryellen Dabal's NPI number?

The NPI number for Maryellen Dabal is 1013232032. It was assigned to this individual provider in the NPPES registry on April 1, 2010.

Where is Maryellen Dabal located?

Maryellen Dabal practices at 305 Miron Dr, Southlake, TX 76092. The listed phone number is (817) 876-9958.

What is Maryellen Dabal's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Maryellen Dabal enrolled in Medicare?

Yes. Maryellen Dabal is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Maryellen Dabal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maryellen Dabal reassigns Medicare benefits to Doctor On Demand Professionals P C (San Francisco, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Maryellen Dabal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Maryellen Dabal was last updated on October 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.