Active NPI
Paul Cherry, LPC, LCDC
- Professional Counselor
- Fort Worth, TX
National Provider Identifier
1164095196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 86376
- Practice address
- 3509 Hulen St Ste 107
Fort Worth, TX 76107-6834 - Phone
- (817) 382-7130
- NPI assigned
- Jul 19, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 15834 | TX | |
| Professional Counselor | 101YP2500X | 86376 | TX | Primary |
Addresses
Primary practice location
3509 Hulen St Ste 107
Fort Worth, TX 76107-6834
Mailing address
8708 Cloudyway Dr
Fort Worth, TX 76123-1688
Phone (717) 433-1234
Other practice location 1
8708 Cloudyway Dr
Fort Worth, TX 76123-1688
Phone (682) 245-1935
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
| License | State | Type | Specialty |
|---|---|---|---|
| 15834 | TX | MD | Addiction (Substance Use Disorder) Counselor |
| 86376 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762128000000",
"number": "1164095196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8708 CLOUDYWAY DR",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761231688",
"telephone_number": "717-433-1234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3509 HULEN ST STE 107",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761076834",
"telephone_number": "817-382-7130"
}
],
"practiceLocations": [
{
"address_1": "8708 Cloudyway Dr",
"address_purpose": "LOCATION",
"city": "Fort Worth",
"state": "TX",
"postal_code": "761231688",
"country_code": "US",
"telephone_number": "682-245-1935",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHERRY",
"first_name": "PAUL",
"credential": "LPC, LCDC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-07-19",
"last_updated": "2025-11-03",
"certification_date": "2025-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "15834",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "86376",
"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 Nov 3, 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.