Active NPI
Archetype Psychotherapy, PA
- Mental Health Counselor
- Fort Worth, TX
National Provider Identifier
1356190086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- ARCHETYPE PSYCHOTHERAPY, PA
- Practice address
- 2920 Oak Park Cir Ste 102
Fort Worth, TX 76109-1853 - Phone
- (956) 292-1979
- NPI assigned
- May 15, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Ricardo E Contreras, LPC
- Title
- Owner
- Phone
- (956) 292-1979
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
2920 Oak Park Cir Ste 102
Fort Worth, TX 76109-1853
Mailing address
2920 Oak Park Cir Ste 102
Fort Worth, TX 76109-1853
Phone (956) 292-1979
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Fort Worth, TX
- NPI 1326534579
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715731200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761696000000",
"number": "1356190086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2920 OAK PARK CIR STE 102",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761091853",
"telephone_number": "956-292-1979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2920 OAK PARK CIR STE 102",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761091853",
"telephone_number": "956-292-1979"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARCHETYPE PSYCHOTHERAPY, PA",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-15",
"last_updated": "2025-10-29",
"certification_date": "2025-10-29",
"status": "A",
"authorized_official_last_name": "CONTRERAS",
"authorized_official_first_name": "RICARDO",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "956-292-1979",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"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 Oct 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.