Active NPI
Merit Family Services
- Professional Counselor
- Fort Worth, TX
National Provider Identifier
1194192005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 15675
- Legal business name
- MERIT FAMILY SERVICES
- Practice address
- 3807 E Lancaster Ave
Fort Worth, TX 76103-3522 - Phone
- (817) 413-9463
- NPI assigned
- Aug 26, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carol Blackmon
- Title
- Executive Director
- Phone
- (817) 413-9463
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 15675 | TX | Primary |
Addresses
Primary practice location
3807 E Lancaster Ave
Fort Worth, TX 76103-3522
Mailing address
3807 E Lancaster Ave
Fort Worth, TX 76103-3522
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440547200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1440547200000",
"number": "1194192005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3807 E LANCASTER AVE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761033522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3807 E LANCASTER AVE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761033522",
"telephone_number": "817-413-9463"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERIT FAMILY SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-26",
"last_updated": "2015-08-26",
"status": "A",
"authorized_official_last_name": "BLACKMON",
"authorized_official_first_name": "CAROL",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "817-413-9463"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "TX",
"license": "15675",
"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 Aug 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.