Organization Active NPI

Cmac Counseling, PLLC

  • Community/Behavioral Health Agency
  • Fort Worth, TX
National Provider Identifier
1215559422
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on Sep 27, 2024

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

Authorized official

Name
Christi Lorraine McDonald, LPCNPI 1891269023
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
74474OtherTXSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241017001855 TX Part B Supplier - Clinic/Group Practice 6305378159 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Worth, TX

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.