Organization Active NPI

Foster the Mind

  • Mental Health Counselor
  • Fort Worth, TX
National Provider Identifier
1033044730
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
FOSTER THE MIND
Practice address
1630 Park Place Ave
Fort Worth, TX 76110-1377
Phone
(817) 770-0190
NPI assigned
Jun 15, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Authorized official

Name
Amanda Breitling
Title
Clincal Director
Phone
(817) 770-0190

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1630 Park Place Ave
Fort Worth, TX 76110-1377

Mailing address

817 Valley Ridge Rd
Burleson, TX 76028-4987
Phone (817) 770-0190

National Provider Directory

National Provider Directory

Locations

1630 Park Place Ave
Fort Worth, TX 76110

NPI Registry JSON

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

{
    "created_epoch": "1781481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781481600000",
    "number": "1033044730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 VALLEY RIDGE RD",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760284987",
            "telephone_number": "817-770-0190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 PARK PLACE AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761101377",
            "telephone_number": "817-770-0190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOSTER THE MIND",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-15",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A",
        "authorized_official_last_name": "BREITLING",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "CLINCAL DIRECTOR",
        "authorized_official_telephone_number": "817-770-0190"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Jun 15, 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.

Verify at the official NPI Registry.