Organization Active NPI

Anu Counseling & Supportive Services, PLLC

  • Clinical Social Worker
  • Fort Worth, TX
National Provider Identifier
1114819752
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ANU COUNSELING & SUPPORTIVE SERVICES, PLLC
Practice address
3000 S Hulen St Ste 124-936
Fort Worth, TX 76109-1914
Phone
(469) 986-4992
Fax
(469) 589-3639
NPI assigned
Jul 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Authorized official

Name
Krystle Rene'E BordleyNPI 1134841505
Title
Owner
Phone
(469) 986-4992

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

3000 S Hulen St Ste 124-936
Fort Worth, TX 76109-1914

Mailing address

3000 S Hulen St Ste 124-936
Fort Worth, TX 76109-1914
Phone (469) 986-4992

Other names 1

  • n/a Other name

National Provider Directory

National Provider Directory

Locations

3000 S Hulen St
Ste 124936
Fort Worth, TX 76109
Phone (469) 986-4992

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": "1752710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752710400000",
    "number": "1114819752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 S HULEN ST STE 124-936",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761091914",
            "telephone_number": "469-986-4992",
            "fax_number": "469-589-3639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 S HULEN ST STE 124-936",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761091914",
            "telephone_number": "469-986-4992",
            "fax_number": "469-589-3639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANU COUNSELING & SUPPORTIVE SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-17",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A",
        "authorized_official_last_name": "BORDLEY",
        "authorized_official_first_name": "KRYSTLE",
        "authorized_official_middle_name": "RENE'E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-986-4992"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "n/a",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jul 17, 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.