Kellie A McLarty, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

19717 Issued in TX

Practice address

4200 S Hulen St
Fort Worth, TX 76109-4914

Phone

(817) 296-6053

NPI assigned

Aug 21, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Kellie McLarty LPC

  • Professional Counselor
  • Fort Worth, TX
  • NPI 1932595444
  NPD (past) Authorized official

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

{
    "created_epoch": "1440115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440115200000",
    "number": "1336516699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 S HULEN ST STE 318",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094910",
            "telephone_number": "817-296-6053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 S HULEN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094914",
            "telephone_number": "817-296-6053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLARTY",
        "first_name": "KELLIE",
        "middle_name": "A",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-21",
        "last_updated": "2015-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "19717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah S McKnight, N.P.
• Jeromy McKnight, PMHNP
• Shalice McKnight, D.O.
• Trace McKnight
• McLade Health Care Services Inc
• Kristen McLarty
• Sophie Elise McLarty
• Anali Catalina McLaughlin, RN
• Anna Jeanette McLaughlin, RN
• Emily B McLaughlin, MD

• All providers in Fort Worth, TX
• Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.