Individual provider Active NPI

Zaundra K Baskins McCoy

  • Counselor
  • Fort Worth, TX
National Provider Identifier
1083169650
Registry record updated Aug 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
DIAGNOSTICIAN Issued in TX
Practice address
6100 Western PL Ste 408
Fort Worth, TX 76107-4690
Phone
(817) 735-4165
NPI assigned
Aug 23, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X DIAGNOSTICIAN TX Primary

Addresses

Primary practice location

6100 Western PL Ste 408
Fort Worth, TX 76107-4690

Mailing address

7901 Bonito Dr
Arlington, TX 76002-4118
Phone (682) 215-5171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DIAGNOSTICIANTXMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Fair Winds Assessment and Counseling Center PLLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1471910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471910400000",
    "number": "1083169650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 BONITO DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760024118",
            "telephone_number": "682-215-5171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 WESTERN PL STE 408",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761074690",
            "telephone_number": "817-735-4165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASKINS MCCOY",
        "first_name": "ZAUNDRA",
        "middle_name": "K",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-23",
        "last_updated": "2016-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "DIAGNOSTICIAN",
            "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 Aug 23, 2016; 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.