Organization Active NPI

Inner Self Behavioral Health LLC

  • Community/Behavioral Health Agency
  • Fort Worth, TX
National Provider Identifier
1104514306
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
INNER SELF BEHAVIORAL HEALTH LLC
Practice address
6850 Manhattan Blvd Ste 300-19
Fort Worth, TX 76120-1227
Phone
(817) 631-1298
NPI assigned
Apr 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Authorized official

Name
Ms. Satang Ann, APRNNPI 1487380929
Title
Pmhnp-BC
Phone
(817) 631-1298

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

6850 Manhattan Blvd Ste 300-19
Fort Worth, TX 76120-1227

Mailing address

6850 Manhattan Blvd Ste 300-19
Fort Worth, TX 76120-1227
Phone (817) 631-1298

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230523000497 TX Part B Supplier - Clinic/Group Practice 6305202078 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Worth, TX

National Provider Directory

National Provider Directory

Locations

6850 Manhattan Blvd
Ste 30019
Fort Worth, TX 76120
Phone (817) 631-1298

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": "1682467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775606400000",
    "number": "1104514306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6850 MANHATTAN BLVD STE 300-19",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761201227",
            "telephone_number": "817-631-1298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6850 MANHATTAN BLVD STE 300-19",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761201227",
            "telephone_number": "817-631-1298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER SELF BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-26",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A",
        "authorized_official_last_name": "ANN",
        "authorized_official_first_name": "SATANG",
        "authorized_official_title_or_position": "PMHNP-BC",
        "authorized_official_telephone_number": "817-631-1298",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "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 Apr 8, 2026; 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.