Organization Active NPI

Fuqua Psychiatric Consulting PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Southlake, TX
National Provider Identifier
1083501951
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
FUQUA PSYCHIATRIC CONSULTING PLLC
Practice address
420 N Carroll Ave Ste 150
Southlake, TX 76092-6454
Phone
(210) 201-3316
NPI assigned
Jun 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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

Authorized official

Name
Adrienne Cardenas
Title
Practice Manager
Phone
(210) 201-3316

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

420 N Carroll Ave Ste 150
Southlake, TX 76092-6454

Mailing address

420 N Carroll Ave Ste 150
Southlake, TX 76092-6454
Phone (210) 201-3316

National Provider Directory

National Provider Directory

Locations

920 S Main St
Ste 191
Grapevine, TX 76051

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1750636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769040000000",
    "number": "1083501951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 N CARROLL AVE STE 150",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926454",
            "telephone_number": "210-201-3316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 N CARROLL AVE STE 150",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926454",
            "telephone_number": "210-201-3316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUQUA PSYCHIATRIC CONSULTING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-23",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A",
        "authorized_official_last_name": "CARDENAS",
        "authorized_official_first_name": "ADRIENNE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "210-201-3316"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southlake, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.

Verify at the official NPI Registry.