Individual provider Active NPI

Gary Wayne Ward, DMIN

  • Professional Counselor
  • Arlington, TX
National Provider Identifier
1164026217
Registry record updated Nov 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
66728 Issued in TX
Practice address
2508 Little Rd Ste 200
Arlington, TX 76016-1301
Phone
(682) 232-4453
NPI assigned
Nov 29, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 66728 TX Primary

Addresses

Primary practice location

2508 Little Rd Ste 200
Arlington, TX 76016-1301

Mailing address

5100 Fairmount Dr
Arlington, TX 76017-3427
Phone (817) 504-0062

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Arlington Direct

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
66728TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Renewed Purpose Counseling Services, LLC Professional CurrentSince Apr 25, 2021 Accepting new patients

Locations

2508 Little Rd
Ste 200
Arlington, TX 76016
Phone (682) 232-4453

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1606608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606608000000",
    "number": "1164026217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 FAIRMOUNT DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760173427",
            "telephone_number": "817-504-0062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2508 LITTLE RD STE 200",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760161301",
            "telephone_number": "682-232-4453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "GARY",
        "middle_name": "WAYNE",
        "credential": "DMIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-29",
        "last_updated": "2020-11-29",
        "certification_date": "2020-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "66728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Arlington",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2508 Little Rd Ste 200",
            "city": "Arlington",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760161301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2020; 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.