TRICIA TILLMAN (NPI# 1356859185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356859185 |
| Entity Type | Individual |
| Full Name | TRICIA TILLMAN |
| Practice Address |
4232 Heritage Trace Pkwy Fort Worth TX 76244-5375 |
| Mailing Address |
7208 Jurassic Dr Arlington TX 76002-4719 |
| Practice Telephone | 8174473001 |
| Enumeration Date | 2018-01-15 |
| Last Update Date | 2018-01-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| Y | 106H00000X | Marriage & Family Therapist | 202622 | TX | Behavioral Health & Social Service Providers |
| Street Address |
4232 HERITAGE TRACE PKWY |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76244-5375 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932254679 | Envision Imaging of North Fort Worth | Radiology | 4232 Heritage Trace Pkwy, Fort Worth, TX 76244-5375 | 2007-01-24 |
| 1609419134 | Jessica Renae Carr | Nurse Practitioner | 4232 Heritage Trace Pkwy, Fort Worth, TX 76244-5375 | 2019-10-28 |
| 1144704552 | Dominique Dacus | Counselor | 4232 Heritage Trace Pkwy, Fort Worth, TX 76244-5375 | 2018-09-20 |
| 1528542594 | Erika Rodriguez Lozano | Counselor | 4232 Heritage Trace Pkwy, Fort Worth, TX 76244-5375 | 2018-09-17 |
| 1962983767 | Michelle Gay Mcmillan | Counselor | 4232 Heritage Trace Pkwy, Fort Worth, TX 76244-5375 | 2018-08-28 |
| 1588166755 | Laurence Saputra | Counselor | 4232 Heritage Trace Pkwy, Fort Worth, TX 76244-5375 | 2018-03-05 |
| 1023528775 | Cathleen Ricks | Counselor | 4232 Heritage Trace Pkwy, Fort Worth, TX 76244-5375 | 2017-10-09 |
| 1275905937 | Deann Harrison | Nurse Practitioner | 4232 Heritage Trace Pkwy, Fort Worth, TX 76244-5375 | 2015-10-21 |
| 1750777850 | Shawntee Desaray Goff | Social Worker | 4232 Heritage Trace Pkwy, Fort Worth, TX 76244-5375 | 2015-04-15 |
| 1346639085 | Constance Canada | Counselor | 4232 Heritage Trace Pkwy, Fort Worth, TX 76244-5375 | 2015-01-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773510 | Aum Nitin Patel | Optometrist | 12584 N Beach Street #122, Keller, TX 76244 | 2020-09-07 |
| 1477178374 | Trinity Spine and Orthopedics, Pllc | Orthopaedic Surgery | 4444 Heritage Trace, Suite 408, Keller, TX 76244 | 2020-06-16 |
| 1235778622 | Hope Family Healthcare LLC | Nurse Practitioner | 4610 Heritage Trace Pkwy, Ste 400, Keller, TX 76244 | 2020-01-02 |
| 1104468917 | Kylie Ann Montgomery | Behavior Technician | 12650 N Beach St Suite 146, Fort Worth, TX 76244 | 2019-10-14 |
| 1376193433 | Ntkc - Dfw, Pllc | Internal Medicine | 10700 Victoria Ash Dr., Keller, TX 76244 | 2019-09-19 |
| 1629628532 | Today Dental of Saginaw Pllc | Dentist | 1628 Basswood Blvd, Fort Worth, TX 76244 | 2019-09-13 |
| 1962050492 | Precision Ambulatory Surgery Center, LLC | Ophthalmology | 9439 North Beach Street, Fort Worth, TX 76244 | 2019-08-28 |
| 1770145351 | Texas Health Spine Surgery Center Alliance LLC | Clinic/Center | 10900 Founders Way, Suite 100, Fort Worth, TX 76244 | 2019-07-03 |
| 1770048720 | Robin Jansen | Occupational Therapy Assistant | 4317 Oak Chase Dr, Keller, TX 76244 | 2019-02-04 |
| 1033687256 | Marian Abibatu James | Nurse Practitioner | 4516 Jaylin St, Keller, TX 76244 | 2018-11-06 |
| Find all providers in zip 76244 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679173017 | Christina Helen Grudzinski | Marriage & Family Therapist | 6777 Camp Bowie Blvd Ste 332, Fort Worth, TX 76116-7196 | 2020-10-26 |
| 1174157325 | Deitra Baker | Marriage & Family Therapist | 9800 Hillwood Pkwy, Fort Worth, TX 76177-1527 | 2020-02-26 |
| 1861043713 | Jacob O Wasonga | Marriage & Family Therapist | 1124 Galveston Ave Ste B, Fort Worth, TX 76104-4878 | 2019-09-23 |
| 1831759208 | James Michael Jeffcoat | Marriage & Family Therapist | 4700 Bryant Irvin Ct Ste 203, Fort Worth, TX 76107-7645 | 2019-06-18 |
| 1154829455 | Edlyn Quintero | Marriage & Family Therapist | 226 Bailey Ave Ste 103, Fort Worth, TX 76107-1260 | 2018-02-01 |
| 1902335680 | New Horizon Counseling | Marriage & Family Therapist | 4255 Bryant Irvin Rd Ste 210, Fort Worth, TX 76109-4225 | 2017-06-07 |
| 1346786233 | Sunday Dieke | Marriage & Family Therapist | 10000 Calcite Dr, Fort Worth, TX 76131-3398 | 2017-01-16 |
| 1265899595 | Deliliah Lemons | Marriage & Family Therapist | 1512 W Gambrell St, Fort Worth, TX 76115-2207 | 2016-01-17 |
| 1134584501 | Carolyn V Becker | Marriage & Family Therapist | 4700 Keller Hicks Rd, Fort Worth, TX 76244-9663 | 2015-12-29 |
| 1114309101 | Zully Schultz | Marriage & Family Therapist | 1509b S. University Dr., Suite 212, Fort Worth, TX 76107 | 2015-06-25 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76244 |
Please comment or provide details below to improve the information on TRICIA TILLMAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.