Carolyn Jean Clontz, MS,LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

203099 Issued in TX

Practice address

8408 Davis Blvd Ste 240
North Richland Hills, TX 76182-8610

Phone

(817) 765-5664

NPI assigned

May 29, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

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

Marriage and Family Therapist

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Emh Mid-Cities PLLCGroup PAC ID 3072058387, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Emh Mid-Cities PLLC

  • Mental Health Counselor
  • North Richland Hills, TX
  • NPI 1477277192
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1215428974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 ADMIRAL DR",
            "city": "AZLE",
            "state": "TX",
            "postal_code": "760202958",
            "telephone_number": "817-403-8215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8408 DAVIS BLVD STE 240",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761828610",
            "telephone_number": "817-765-5664"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1075 Admiral Dr",
            "address_purpose": "LOCATION",
            "city": "Azle",
            "state": "TX",
            "postal_code": "760202958",
            "country_code": "US",
            "telephone_number": "817-403-8215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLONTZ",
        "first_name": "CAROLYN",
        "middle_name": "JEAN",
        "credential": "MS,LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-29",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "15348",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "203099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Classic Wellness Centers
• Clear Anesthesia PLLC
• Daniel Adam Clearfield, DO
• Maggie Kate Clemmons
• Clinica Hispana North Richland Hills LLC
• Jessica Clough, LCSW
• Allison Cochran, FNP-C
• Brenda Coley, AU.D.
• Ashley Collazo
• Columbia North Hills Hospital Subsidiary LP

• Marriage & Family Therapist in North Richland Hills, TX
• Providers in North Richland Hills, TX by specialty
• Marriage & Family Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.