Ian Keith Pagdilao, LPC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

81158 Issued in TX

Practice address

1300 S University Dr Ste 306
Fort Worth, TX 76107-5746

Phone

(844) 824-8775

NPI assigned

Feb 4, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Progressive Behavioral Health, PLLC

  • Mental Health Counselor
  • Friendswood, TX
  • NPI 1659567238
  NPD
• Trinity Congruent Health, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cedar Hill, TX
  • NPI 1053174573
  NPD

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

{
    "created_epoch": "1612396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1306438114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 S UNIVERSITY DR STE 306",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761075746",
            "telephone_number": "844-824-8775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S UNIVERSITY DR STE 306",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761075746",
            "telephone_number": "844-824-8775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGDILAO",
        "first_name": "IAN",
        "middle_name": "KEITH",
        "credential": "LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-04",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "81158",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "81158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriela Ana Padilla, LPC
• Melissa Padilla, LMSW
• Amrutha Padmasolala, LMSW
• Donald R Paek Sr., MD
• Pafford Medical Services Corporation of Texas, Inc
• Delaney Elizabeth Page
• Derek Layne Page Sr., D.C.
• Elijah Page
• Sheila Page
• Patti Pagels, PA

• Professional Counselor in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.