Active NPI
Cmac Counseling, PLLC
- Community/Behavioral Health Agency
- Fort Worth, TX
National Provider Identifier
1215559422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- CMAC COUNSELING, PLLC
- Practice address
- 910 Collier St Ste 225
Fort Worth, TX 76102-3584 - Phone
- (817) 602-2143
- NPI assigned
- May 11, 2020
- 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
- Christi Lorraine McDonald, LPC
- Title
- Licensed Professional Counselor
- Phone
- (817) 602-2143
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
910 Collier St Ste 225
Fort Worth, TX 76102-3584
Mailing address
910 Collier St Ste 225
Fort Worth, TX 76102-3584
Phone (817) 602-2143
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 74474 | Other | TX | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
910 Collier St
Ste 225
Fort Worth, TX 76102
Phone (817) 602-2143
2100 N Main St
Ste 20B
Fort Worth, TX 76164
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589155200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727395200000",
"number": "1215559422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "910 COLLIER ST STE 225",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761023584",
"telephone_number": "817-602-2143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 COLLIER ST STE 225",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761023584",
"telephone_number": "817-602-2143"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CMAC COUNSELING, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-05-11",
"last_updated": "2024-09-27",
"certification_date": "2024-09-27",
"status": "A",
"authorized_official_last_name": "MCDONALD",
"authorized_official_first_name": "CHRISTI",
"authorized_official_middle_name": "LORRAINE",
"authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
"authorized_official_telephone_number": "817-602-2143",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "74474",
"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 Sep 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.