Active NPI
Foster the Mind
- Mental Health Counselor
- Fort Worth, TX
National Provider Identifier
1033044730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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 DirectoryLocations
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.