Antoine R Votaw, LPC, LCDC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

88670 Issued in TX

Practice address

3001 W 5TH St
Fort Worth, TX 76107-8900

Phone

(214) 356-2564

NPI assigned

Jan 15, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Taylor Counseling GroupGroup PAC ID 7012360019, 36 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Taylor Counseling Group

  • Counselor
  • Dallas, TX
  • NPI 1578947628
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1194596544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3904 VINTAGE PL",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750288512",
            "telephone_number": "214-356-2564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 W 5TH ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761078900",
            "telephone_number": "214-356-2564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOTAW",
        "first_name": "ANTOINE",
        "middle_name": "R",
        "credential": "LPC, LCDC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "88670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew A Vories, MD
• Kate Vosburg
• Emily Dejong Voss, R.D.
• Kurt W Voss, DO
• Lacey Voss, OT
• Lacy Voth, PA-C
• April Votsmier
• Voyager
• Voyager Home Health, Inc
• Voyager Home Health, Inc.

• Mental Health Counselor in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.