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

Q: 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.

Q: What is Maryellen Dabal's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Maryellen Dabal was last updated on October 11, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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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, and ordering and referring status from the CMS PECOS system.

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.

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