Individual provider Active NPI

Rhonda Mae Lines, LCDC

  • Addiction (Substance Use Disorder) Counselor
  • Ft Worth, TX
National Provider Identifier
1164068797
Registry record updated Nov 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
14465 Issued in TX
Practice address
700 Hemphill St Ste a
Ft Worth, TX 76104-3105
Phone
(817) 334-0111
NPI assigned
Nov 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 14465 TX Primary

Addresses

Primary practice location

700 Hemphill St Ste a
Ft Worth, TX 76104-3105

Mailing address

700 Hemphill St Ste a
Ft Worth, TX 76104-3105
Phone (817) 334-0111

Other practice location 1

700 Hemphill St Ste A
Ft Worth, TX 76104-3105
Phone (817) 334-0111

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
14465TXMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1574121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574121600000",
    "number": "1164068797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 HEMPHILL ST STE A",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761043105",
            "telephone_number": "817-334-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 HEMPHILL ST STE A",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761043105",
            "telephone_number": "817-334-0111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Hemphill St Ste A",
            "address_purpose": "LOCATION",
            "city": "Ft Worth",
            "state": "TX",
            "postal_code": "761043105",
            "country_code": "US",
            "telephone_number": "817-334-0111",
            "fax_number": "817-334-0249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LINES",
        "first_name": "RHONDA",
        "middle_name": "MAE",
        "credential": "LCDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-19",
        "last_updated": "2019-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "14465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; 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.