Organization Active NPI

Unearthed, PLLC

  • Mental Health Counselor
  • Keller, TX
National Provider Identifier
1356117386
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
UNEARTHED, PLLC
Practice address
139 S Elm St
Keller, TX 76248-2230
Phone
(817) 648-6247
NPI assigned
Nov 30, 2023
Last updated
Apr 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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

Authorized official

Name
Laura Wright, LPC-SNPI 1336575653
Title
Owner and Main Therapist
Phone
(817) 648-6247

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary
Professional Counselor 101YP2500X NU

Addresses

Primary practice location

139 S Elm St
Keller, TX 76248-2230

Mailing address

8933 Riscky TRL
Fort Worth, TX 76244-6123
Phone (817) 648-6247

National Provider Directory

National Provider Directory

Locations

139 S Elm St
Keller, TX 76248
Phone (817) 648-6247

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1701302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713830400000",
    "number": "1356117386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8933 RISCKY TRL",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762446123",
            "telephone_number": "817-648-6247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 S ELM ST",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762482230",
            "telephone_number": "817-648-6247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNEARTHED, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-30",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OWNER AND MAIN THERAPIST",
        "authorized_official_telephone_number": "817-648-6247",
        "authorized_official_credential": "LPC-S"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keller, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; 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.