Kolby Acker, LMFT-ASSOCIATE

Individual provider Active NPI Marriage & Family Therapist · Fort Worth, TX

NPI 1265219802 · NPPES record last updated Sep 8, 2023

Key facts

NPI
1265219802
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
204807 (TX)
Practice address
4500 Mercantile Plaza Dr Ste 307
Fort Worth, TX 76137-4230
Phone
(817) 232-9400
Fax
(817) 232-9403
NPI assigned
Sep 8, 2023
Sex
Female
Sole proprietor
Yes

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
204807TXMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rhonda M. Johnson PHD. PLLC Multi-Specialty Past
since Sep 10, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist
Group: 193200000X MULTI-SPECIALTY GROUP
106H00000X 204807 TX Yes

Addresses

Primary practice location

4500 Mercantile Plaza Dr Ste 307
Fort Worth, TX 76137-4230

Mailing address

4500 Mercantile Plaza Dr Ste 307
Fort Worth, TX 76137-4230
Phone (817) 232-9400

Other providers in Fort Worth, TX

All providers in Fort Worth, TX · Marriage & Family Therapist in Texas

Sources for this page

Verify at the official NPI Registry.