Individual provider Active NPI

Gabriela Ana Padilla, LPC

  • Professional Counselor
  • Fort Worth, TX
National Provider Identifier
1225738834
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
86796 Issued in TX
Practice address
905 W Cantey St
Ft Worth, TX 76110-3205
Phone
(972) 765-6573
NPI assigned
Mar 3, 2023
Last updated
Jul 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 86796 TX
Professional Counselor 101YP2500X 86796 TX Primary

Addresses

Primary practice location

905 W Cantey St
Ft Worth, TX 76110-3205

Mailing address

905 W Cantey St
Ft Worth, TX 76110-3205
Phone (972) 765-6573

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240124004576 TX Practitioner - Mental Health Counselor 3779936869 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mindful Possibilities LLC Robert Corey Boes Sole MBRGroup PAC ID 9638541196, 4 clinicians

Practice addresses (Care Compare)

905 W Cantey St
Fort Worth, TX 76110-3205
Phone (817) 382-1876

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Possibilities LLC Robert Corey Boes Sole MBR CurrentSince Jan 1, 2024 Accepting new patients

Locations

610 S Jennings Ave
Ste C
Fort Worth, TX 76104
Phone (817) 352-1876

905 W Cantey St
Ft Worth, TX 76110
Phone (817) 382-1876

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1677801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1225738834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 W CANTEY ST",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761103205",
            "telephone_number": "972-765-6573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 W CANTEY ST",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761103205",
            "telephone_number": "972-765-6573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADILLA",
        "first_name": "GABRIELA",
        "middle_name": "ANA",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-03",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "86796",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "86796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.