Active NPI
Kristin Bruce-Cardwell, LPC
- Professional Counselor
- Bedford, TX
National Provider Identifier
1013551191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 76083
- Practice address
- 2700 Tibbets Dr Ste 504
Bedford, TX 76022-5916 - Phone
- (817) 851-2042
- NPI assigned
- Nov 1, 2019
- Sex
- Female
- 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 | 76083 | TX | Primary |
Addresses
Primary practice location
2700 Tibbets Dr Ste 504
Bedford, TX 76022-5916
Mailing address
605 Cherry Tree Dr
Keller, TX 76248-8241
Other practice location 1
1100 Hemphill St
Fort Worth, TX 76104-4666
Phone (817) 851-2042
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250114000453 | TX | Practitioner - Mental Health Counselor | 3072041482 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 76083 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740009600000",
"number": "1013551191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 CHERRY TREE DR",
"city": "KELLER",
"state": "TX",
"postal_code": "762488241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 TIBBETS DR STE 504",
"city": "BEDFORD",
"state": "TX",
"postal_code": "760225916",
"telephone_number": "817-851-2042"
}
],
"practiceLocations": [
{
"address_1": "1100 Hemphill St",
"address_purpose": "LOCATION",
"city": "Fort Worth",
"state": "TX",
"postal_code": "761044666",
"country_code": "US",
"telephone_number": "817-851-2042",
"fax_number": "817-405-3364",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRUCE-CARDWELL",
"first_name": "KRISTIN",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-01",
"last_updated": "2025-02-20",
"certification_date": "2025-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "76083",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bedford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.