Active NPI
James Willie Hentz Jr., LPC
- Professional Counselor
- Kennedale, TX
National Provider Identifier
1003450438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 76573
- Practice address
- 500 Oak Forest CT
Kennedale, TX 76060-5602 - Phone
- (214) 405-6504
- NPI assigned
- Oct 29, 2019
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 76573 | TX | Primary |
Addresses
Primary practice location
500 Oak Forest CT
Kennedale, TX 76060-5602
Mailing address
PO Box 8095
Fort Worth, TX 76124-0095
Phone (214) 405-6504
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | elite.counseling.center@gmail.com | Direct |
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 |
|---|---|---|---|
| 76573 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572307200000",
"number": "1003450438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8095",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761240095",
"telephone_number": "214-405-6504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 OAK FOREST CT",
"city": "KENNEDALE",
"state": "TX",
"postal_code": "760605602",
"telephone_number": "214-405-6504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENTZ",
"first_name": "JAMES",
"middle_name": "WILLIE",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-10-29",
"last_updated": "2019-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "76573",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "elite.counseling.center@gmail.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "500 Oak Forest Ct",
"city": "Kennedale",
"state": "TX",
"country_code": "US",
"postal_code": "760605602",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Kennedale, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.