Courtney Marie Patrick, MA, CRC, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

75449 Issued in TX

Practice address

1810 8TH Ave Ste B
Fort Worth, TX 76110-1352

Phone

(682) 207-6682

NPI assigned

Apr 14, 2018

Last updated

Apr 14, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1523664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523664000000",
    "number": "1043707177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4012 COTTAGE PARK CT",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760138087",
            "telephone_number": "417-343-4996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 8TH AVE STE B",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761101352",
            "telephone_number": "682-207-6682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRICK",
        "first_name": "COURTNEY",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "MA, CRC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-14",
        "last_updated": "2018-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "75449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Chen, M.D.,P.a.
• Patrick Donovan MD PA
• Patrick Keehan DO PA
• Patrick Walsh MD Professional Association
• Bethany Patrick
• Paul Lyndon Patrick, D.O.
• Rahmeka Patrick, LPC
• Patriot Chiropractic and Sport Performance (WLF Club)
• Justin Howard Patten, PA-C
• Taylor Patten, DO

• Mental Health Counselor in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2018; 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.