Individual provider Active NPI

Blanche Penaredondo, LPC-ASSOCIATE

  • Mental Health Counselor
  • Fort Worth, TX
National Provider Identifier
1144199621
Registry record updated Sep 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
96623 Issued in TX
Practice address
6777 Camp Bowie Blvd Ste 215
Fort Worth, TX 76116-7157
Phone
(682) 701-1311
Fax
(214) 594-9850
NPI assigned
Nov 3, 2025
Last updated
Sep 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 96623 TX Primary

Addresses

Primary practice location

6777 Camp Bowie Blvd Ste 215
Fort Worth, TX 76116-7157

Mailing address

405 Airport Fwy Ste 2
Bedford, TX 76021-5334
Phone (682) 445-0431

Other practice location 1

405 Airport Fwy Ste 2
Bedford, TX 76021-5334
Phone (682) 445-0431

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
96623TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cole Associates and Counselors of Texas, PLLC Mental Health CurrentSince Nov 9, 2025 Accepting new patients

Locations

405 Airport Fwy
Ste 2
Bedford, TX 76021
Phone (682) 237-9106

Organizations & group practices 1

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": "1762128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789948800000",
    "number": "1144199621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 AIRPORT FWY STE 2",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760215334",
            "telephone_number": "682-445-0431",
            "fax_number": "214-594-9850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6777 CAMP BOWIE BLVD STE 215",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761167157",
            "telephone_number": "682-701-1311",
            "fax_number": "214-594-9850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "405 Airport Fwy Ste 2",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "TX",
            "postal_code": "760215334",
            "country_code": "US",
            "telephone_number": "682-445-0431",
            "fax_number": "214-594-9850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENAREDONDO",
        "first_name": "BLANCHE",
        "credential": "LPC-ASSOCIATE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-03",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "96623",
            "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 Sep 21, 2026; 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.