Individual provider Active NPI

Randall Storey, MS, LPC

  • Professional Counselor
  • Weatherford, TX
National Provider Identifier
1275041360
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
72986 Issued in TX
Practice address
1149 Fort Worth Hwy
Weatherford, TX 76086-4555
Phone
(817) 596-7543
Fax
(817) 596-7543
NPI assigned
Jan 11, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 72986 TX Primary

Addresses

Primary practice location

1149 Fort Worth Hwy
Weatherford, TX 76086-4555

Mailing address

9117 Windrush Dr N Apt 919
Fort Worth, TX 76116-6652
Phone (817) 682-0612

Other practice location 1

516 College Ave
Fort Worth, TX 76104-2238
Phone (682) 703-0712

Other practice location 2

3840 Hulen St
Fort Worth, TX 76107-7277
Phone (817) 569-4300

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
I20240403000204 TX Practitioner - Mental Health Counselor 1951749423 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
My Health My Resources of Tarrant County CurrentSince Feb 6, 2024 Accepting new patients

Locations

3840 Hulen St
Ft Worth, TX 76107
Phone (817) 569-4395

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.

NPI Registry JSON

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

{
    "created_epoch": "1515628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1275041360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9117 WINDRUSH DR N APT 919",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761166652",
            "telephone_number": "817-682-0612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1149 FORT WORTH HWY",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760864555",
            "telephone_number": "817-596-7543",
            "fax_number": "817-596-7543"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "516 College Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761042238",
            "country_code": "US",
            "telephone_number": "682-703-0712",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3840 Hulen St",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761077277",
            "country_code": "US",
            "telephone_number": "817-569-4300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOREY",
        "first_name": "RANDALL",
        "credential": "MS, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-11",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "72986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weatherford, TX

Sources for this page

Verify at the official NPI Registry.