NPIMap

Organization Active NPI

Tri-S Counseling & Education

  • Clinical Social Worker
  • Fort Worth, TX
National Provider Identifier
1215189907
Registry record updated Oct 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
TRI-S COUNSELING & EDUCATION
Practice address
4200 South Fwy
Suite 424
Fort Worth, TX 76115-1400
Phone
(817) 920-9321
Fax
(817) 920-9336
NPI assigned
Oct 14, 2008
Last updated
Oct 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2008

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

Authorized official

Name
Mrs. Merrill L Littleberry, LCSW, LCDC, CCMNPI 1649235060
Title
C.O.O
Phone
(817) 920-9321

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

4200 South Fwy
Suite 424
Fort Worth, TX 76115-1400

Mailing address

4200 South Fwy
Suite 424
Fort Worth, TX 76115-1400
Phone (817) 920-9321

Other identifiers 1

IdentifierTypeStateIssuer
177933201MedicaidTX

National Provider Directory

National Provider Directory

Locations

4200 South Fwy
Ste 424
Fort Worth, TX 76115
Phone (817) 919-3814

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1223942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223942400000",
    "number": "1215189907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 SOUTH FWY",
            "address_2": "SUITE 424",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761151400",
            "telephone_number": "817-920-9321",
            "fax_number": "817-920-9336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 SOUTH FWY",
            "address_2": "SUITE 424",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761151400",
            "telephone_number": "817-920-9321",
            "fax_number": "817-920-9336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-S COUNSELING & EDUCATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-14",
        "last_updated": "2008-10-14",
        "status": "A",
        "authorized_official_last_name": "LITTLEBERRY",
        "authorized_official_first_name": "MERRILL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "C.O.O",
        "authorized_official_telephone_number": "817-920-9321",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW, LCDC, CCM"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "177933201",
            "state": "TX"
        }
    ],
    "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 Oct 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.