Individual provider Active NPI

Misty R Taylor, MA, L.P.C.

  • Professional Counselor
  • Fort Worth, TX
National Provider Identifier
1184266900
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
65539 Issued in TX
Practice address
6421 Camp Bowie Blvd Ste 403
Fort Worth, TX 76116-5422
Phone
(817) 935-8468
NPI assigned
Oct 14, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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 65539 TX Primary

Addresses

Primary practice location

6421 Camp Bowie Blvd Ste 403
Fort Worth, TX 76116-5422

Mailing address

401 Foch St Apt 1229
Fort Worth, TX 76107-2574
Phone (325) 370-0798

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240306001556 TX Practitioner - Mental Health Counselor 0042656688 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
65539TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Taylor Counseling Group CurrentSince Jan 1, 2024 Accepting new patients

Locations

8150 N Central Expy
Ste 1625
Dallas, TX 75206
Phone 97957437170

101 Summit Ave
Ste 204
Fort Worth, TX 76102

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": "1571011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1184266900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 FOCH ST APT 1229",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761072574",
            "telephone_number": "325-370-0798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6421 CAMP BOWIE BLVD STE 403",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761165422",
            "telephone_number": "817-935-8468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "MISTY",
        "middle_name": "R",
        "credential": "MA, L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-14",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "65539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.