Individual provider Active NPI

Alford Wade

  • Professional Counselor
  • Fort Worth, TX
National Provider Identifier
1093240780
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
70450 Issued in TX
Practice address
4701 Altamesa Blvd Ste 1F
Fort Worth, TX 76133-6135
Phone
(817) 370-1223
Fax
(817) 370-1225
NPI assigned
May 1, 2017
Last updated
Feb 4, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 70450 TX Primary

Addresses

Primary practice location

4701 Altamesa Blvd Ste 1F
Fort Worth, TX 76133-6135

Mailing address

8217 Cedarcrest LN
Fort Worth, TX 76123-4631
Phone (817) 845-9663

Other practice location 1

3840 Hulen St
Fort Worth, TX 76107-7277
Phone (817) 569-4300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240930000780 TX Practitioner - Mental Health Counselor 2365973591 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
70450TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
My Health My Resources of Tarrant County CurrentSince Jul 11, 2024 Accepting new patients
Personal Care Christian Counseling, Inc. Professional Past Accepting new patients

Locations

3840 Hulen St
Ft Worth, TX 76107
Phone (817) 569-4395

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1493596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1093240780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8217 CEDARCREST LN",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761234631",
            "telephone_number": "817-845-9663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 ALTAMESA BLVD STE 1F",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761336135",
            "telephone_number": "817-370-1223",
            "fax_number": "817-370-1225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3840 Hulen St",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761077277",
            "country_code": "US",
            "telephone_number": "817-569-4300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WADE",
        "first_name": "ALFORD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-01",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "70450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.