Active NPI
Geoffrey W. Weckel, LPC
- Professional Counselor
- Fort Worth, TX
National Provider Identifier
1215028386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 17309
- Practice address
- 550 Bailey Ave Ste 302
Fort Worth, TX 76107-2119 - Phone
- (682) 472-4925
- NPI assigned
- Sep 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 17309 | TX | Primary |
Addresses
Primary practice location
550 Bailey Ave Ste 302
Fort Worth, TX 76107-2119
Mailing address
550 Bailey Ave Ste 302
Fort Worth, TX 76107-2119
Phone (682) 472-4925
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 |
|---|---|---|---|
| 17309 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288742400000",
"number": "1215028386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 BAILEY AVE STE 302",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761072119",
"telephone_number": "682-472-4925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 BAILEY AVE STE 302",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761072119",
"telephone_number": "682-472-4925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WECKEL",
"first_name": "GEOFFREY",
"middle_name": "W.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2010-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "17309",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
- Sarah Weber, RD
- Barbara W Webster, D.O.
- Kirstin Webster, FNP
- Melissa Webster, MS, CCC-SLP
- Joseph Dominic Wechsler Jr., PA-C
- Kati Nicole Weckman
- Ciara L Weddborn, LPC INTERN
- Wedgewood Nursing Home, L.P. (Wedgewood Nursing Home)
- Wedgewood SNF LLC (Wedgewood Nursing Home)
- Wedgwood Eyecare PC (Visualeyes)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.