Psychotherapy Services & Yokefellows

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

PSYCHOTHERAPY SERVICES & YOKEFELLOWS

Practice address

159 N. Riverside Dr
Fort Worth, TX 76111

Phone

(817) 338-4471

Fax

(817) 338-1811

NPI assigned

May 16, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Ezio Leite, LPC

Title

Executive Director

Phone

(817) 338-4471

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

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

• Heather Shahan, M.S.

  • Mental Health Counselor
  • Fort Worth, TX
  • NPI 1467618389
  NPD (past)
• Lashonya Marshay Williams

  • Professional Counselor
  • Mansfield, TX
  • NPI 1063700961
  NPD (past)

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286150400000",
    "number": "1124234885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 N RIVERSIDE DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761113911",
            "telephone_number": "817-338-4471",
            "fax_number": "817-338-1811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 N. RIVERSIDE DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76111",
            "telephone_number": "817-338-4471",
            "fax_number": "817-338-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOTHERAPY SERVICES & YOKEFELLOWS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2010-10-04",
        "status": "A",
        "authorized_official_last_name": "LEITE",
        "authorized_official_first_name": "EZIO",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "817-338-4471",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "177792201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• PSN FW Holdco, LLC
• Katina Psomiadis, SLP
• PSP Professional Services, Inc.
• Psy Family Services
• Psychiatric Consultants of Ft Worth PA
• Psychotherapy, Training and Education Center, Inc.
• Michael Ptak, P.T.
• PTW Chiropractic, PLLC
• PTW Health, PLLC
• Jessica Puckett, SLP

• 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 Oct 4, 2010; 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.