Rebecca Gorman, LPC ASSOCIATE

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

4017 E 1St St
Fort Worth, TX 76111-7003

Phone

(432) 634-0565

NPI assigned

Jan 21, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1737417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1114739810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4017 E 1ST ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761117003",
            "telephone_number": "432-634-0565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4017 E 1ST ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761117003",
            "telephone_number": "432-634-0565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORMAN",
        "first_name": "REBECCA",
        "credential": "LPC ASSOCIATE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-21",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Penny Elaine Gore, RN
• David Keith Gorman, RNFA
• Georgia Remi Gorman, MS, CCC-SLP
• Kathy Jean Gorman, AUD, CCC-A
• Lori A Gorman, S.L.P.
• Navakanth Gorrepati, MD
• Richard Gorski, DPT
• Feydra Gorsline, LCSW
• Brandi Fagan Gosdin, P.A.-C.
• Lica Gosdzinski, CRNA

• Professional Counselor in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.