NPIMap

Organization Active NPI

One Tribe Foundation

  • Mental Health Counselor
  • Fort Worth, TX
National Provider Identifier
1033733266
Registry record updated Jun 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ONE TRIBE FOUNDATION
Practice address
855 Texas St Ste 105
Fort Worth, TX 76102-4574
Phone
(682) 990-6242
NPI assigned
Jun 3, 2020
Organization subpart
Yes
Parent organization
22KILLAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 3, 2020

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

Authorized official

Name
Andrew Carlton
Title
Consultant
Phone
(817) 996-5867

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X Primary
Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0800X

Addresses

Primary practice location

855 Texas St Ste 105
Fort Worth, TX 76102-4574

Mailing address

13625 Neutron Rd
Dallas, TX 75244-4411

Other practice location 1

13625 Neutron Rd
Dallas, TX 75244-4411
Phone (214) 462-7229

Other names 1

  • 22Kill Doing business as

National Provider Directory

National Provider Directory
Tax ID family
One Tribe Foundation3 organizations share this tax ID, including this one
Part of
One Tribe Foundation

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1591142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591142400000",
    "number": "1033733266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13625 NEUTRON RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752444411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 TEXAS ST STE 105",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761024574",
            "telephone_number": "682-990-6242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13625 Neutron Rd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752444411",
            "country_code": "US",
            "telephone_number": "214-462-7229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ONE TRIBE FOUNDATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "22KILL",
        "enumeration_date": "2020-06-03",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A",
        "authorized_official_last_name": "CARLTON",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "817-996-5867"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "22Kill",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 3, 2020; 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.