NPIMap

Organization Active NPI

Symetria Health of Texas, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Fort Worth, TX
National Provider Identifier
1063971232
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
SYMETRIA HEALTH OF TEXAS, LLC
Practice address
7229 Hawkins View Dr
Fort Worth, TX 76132-3921
Phone
(888) 782-6966
Fax
(630) 870-1284
NPI assigned
Mar 18, 2019
Organization subpart
Yes
Parent organization
SOFT LANDING INTERVENTIONS, L.L.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Authorized official

Name
Lea A McMahon
Title
Access Manager
Phone
(936) 202-0926

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X
Methadone Clinic 261QM2800X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

7229 Hawkins View Dr
Fort Worth, TX 76132-3921

Mailing address

1240 E Diehl Rd Ste 550
Naperville, IL 60563-8206
Phone (331) 333-4100

Other names 2

  • Symetria - Fort Worth Outpatient Rehab & Suboxone Clinic Doing business as
  • Symetria Recovery Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Opioid treatment program
Medicare-enrolled since Jul 1, 2021

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210817001059 TX Part B Supplier - Opioid Treatment Program (Otp) 3577968353 6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hurst, TX; Spring, TX; Lewisville, TX; Jersey Village, TX; Fort Worth, TX; College Station, TX; Arlington, TX

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Symetria Health of Texas LLC22 organizations share this tax ID, including this one
Part of
Soft Landing Interventions

Other organizations with this tax ID 21

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

View all 21

Locations

7299 Hawkins VW Dr
Fort Worth, TX 76132

635 Rayford Rd
Ste E
Spring, TX 77386
Phone (630) 621-9220

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710201600000",
    "number": "1063971232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 E DIEHL RD STE 550",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638206",
            "telephone_number": "331-333-4100",
            "fax_number": "432-522-5435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7229 HAWKINS VIEW DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761323921",
            "telephone_number": "888-782-6966",
            "fax_number": "630-870-1284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYMETRIA HEALTH OF TEXAS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOFT LANDING INTERVENTIONS, L.L.C.",
        "enumeration_date": "2019-03-18",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A",
        "authorized_official_last_name": "MCMAHON",
        "authorized_official_first_name": "LEA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ACCESS MANAGER",
        "authorized_official_telephone_number": "936-202-0926"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Symetria - Fort Worth Outpatient Rehab & Suboxone Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Symetria Recovery",
            "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 Mar 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.