Organization Active NPI

Enhanced Living Counseling

  • Professional Counselor
  • Fort Worth, TX
National Provider Identifier
1013200435
Registry record updated May 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
62036 Issued in TX
Legal business name
ENHANCED LIVING COUNSELING
Practice address
3301 Hamilton Ave
Suite 104
Fort Worth, TX 76107-1898
Phone
(817) 992-0410
NPI assigned
May 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Irasema Garcia, PHDNPI 1669621009
Title
Owner
Phone
(817) 992-0410

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 62036 TX Primary

Addresses

Primary practice location

3301 Hamilton Ave
Suite 104
Fort Worth, TX 76107-1898

Mailing address

1196 Verde Oaks LN
Fort Worth, TX 76135-9034
Phone (817) 992-0410

Other names 1

  • Irasema Garcia LPC Former legal business name

National Provider Directory

National Provider Directory

Locations

3301 Hamilton Ave
Ste 104
Fort Worth, TX 76107
Phone (817) 992-0410

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1305676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305676800000",
    "number": "1013200435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1196 VERDE OAKS LN",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761359034",
            "telephone_number": "817-992-0410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 HAMILTON AVE",
            "address_2": "SUITE 104",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761071898",
            "telephone_number": "817-992-0410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENHANCED LIVING COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-18",
        "last_updated": "2011-05-18",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "IRASEMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-992-0410",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "62036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Irasema Garcia LPC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 May 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.