Active NPI
Jakin Behavioral Health Services LLC
- Case Management Agency
- Fort Worth, TX
National Provider Identifier
1003555244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- JAKIN BEHAVIORAL HEALTH SERVICES LLC
- Practice address
- 4500 Mercantile Plaza Dr Ste 300
Fort Worth, TX 76137-4206 - Phone
- (330) 819-1731
- NPI assigned
- Jun 3, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tierra Nicole Brightwell
- Title
- Owner
- Phone
- (330) 819-1731
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary | ||
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Early Intervention Provider Agency | 252Y00000X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Mental Illness Community Based Residential Treatment Facility | 320800000X | |||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | |||
| Substance Abuse Rehabilitation Facility | 324500000X | |||
| Children's Substance Abuse Rehabilitation Facility | 3245S0500X |
Addresses
Primary practice location
4500 Mercantile Plaza Dr Ste 300
Fort Worth, TX 76137-4206
Mailing address
4500 Mercantile Plaza Dr Ste 300
Fort Worth, TX 76137-4206
Phone (330) 819-1731
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Case Manager/Care Coordinator
- Fort Worth, TX
- NPI 1871092718
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654214400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787184000000",
"number": "1003555244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 MERCANTILE PLAZA DR STE 300",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761374206",
"telephone_number": "330-819-1731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 MERCANTILE PLAZA DR STE 300",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761374206",
"telephone_number": "330-819-1731"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAKIN BEHAVIORAL HEALTH SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-03",
"last_updated": "2026-08-20",
"certification_date": "2026-08-20",
"status": "A",
"authorized_official_last_name": "BRIGHTWELL",
"authorized_official_first_name": "TIERRA",
"authorized_official_middle_name": "NICOLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "330-819-1731"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
},
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": false
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": false
},
{
"code": "3245S0500X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.