Active NPI
Bruce Edwin Carpenter, L.P.C.
- Professional Counselor
- Ft Worth, TX
National Provider Identifier
1275279259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 73166
- Practice address
- 6607 Sabrosa CT E
Ft Worth, TX 76133-5251 - Phone
- (903) 654-0784
- NPI assigned
- May 11, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 73166 | TX | Primary |
Addresses
Primary practice location
6607 Sabrosa CT E
Ft Worth, TX 76133-5251
Mailing address
PO Box 331535
Ft Worth, TX 76163-1535
Phone (903) 654-0784
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 73166 | Other | TX | LICENSED PROFESSIONAL COUNSELOR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73166 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652227200000",
"number": "1275279259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 331535",
"city": "FT WORTH",
"state": "TX",
"postal_code": "761631535",
"telephone_number": "903-654-0784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6607 SABROSA CT E",
"city": "FT WORTH",
"state": "TX",
"postal_code": "761335251",
"telephone_number": "903-654-0784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARPENTER",
"first_name": "BRUCE",
"middle_name": "EDWIN",
"credential": "L.P.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-05-11",
"last_updated": "2022-05-11",
"certification_date": "2022-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "73166",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED PROFESSIONAL COUNSELOR",
"identifier": "73166",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ft Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.