NPIMap

Individual provider Active NPI

Trey Albrecht Luna, LCDC

  • Addiction (Substance Use Disorder) Counselor
  • Fort Worth, TX
National Provider Identifier
1336785906
Registry record updated Nov 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
11272 Issued in TX
Practice address
700 Hemphill St Ste a
Fort Worth, TX 76104-3105
Phone
(817) 334-0111
Fax
(817) 334-0249
NPI assigned
Nov 19, 2019
Last updated
Nov 19, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 11272 TX Primary

Addresses

Primary practice location

700 Hemphill St Ste a
Fort Worth, TX 76104-3105

Mailing address

700 Hemphill St Ste a
Fort Worth, TX 76104-3105
Phone (817) 334-0111

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

LicenseStateTypeSpecialty
11272TXMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Symetria Health of Texas, LLC Past Accepting new patients
Symetria Health of Texas, LLC Past Accepting new patients
Symetria Health of Texas, LLC Past Accepting new patients
Symetria Health of Texas, L.L.C. Past Accepting new patients
Symetria Health of Texas, LLC Past Accepting new patients
Symetria Health of Texas, L.L.C. Past Accepting new patients

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1574121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574121600000",
    "number": "1336785906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 HEMPHILL ST STE A",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043105",
            "telephone_number": "817-334-0111",
            "fax_number": "817-334-0249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 HEMPHILL ST STE A",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043105",
            "telephone_number": "817-334-0111",
            "fax_number": "817-334-0249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNA",
        "first_name": "TREY",
        "middle_name": "ALBRECHT",
        "credential": "LCDC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-19",
        "last_updated": "2019-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "11272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; 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.