Active NPI
Jeffrey Hastings, LPC
- Professional Counselor
- Fort Worth, TX
National Provider Identifier
1356857585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 72329
- Practice address
- 1307 8TH Ave Ste 310
Fort Worth, TX 76104-4140 - Phone
- (817) 851-2042
- NPI assigned
- Dec 26, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 72329 | TX | |
| Professional Counselor | 101YP2500X | 72329 | TX | Primary |
Addresses
Primary practice location
1307 8TH Ave Ste 310
Fort Worth, TX 76104-4140
Mailing address
1307 8TH Ave Ste 310
Fort Worth, TX 76104-4140
Phone (817) 851-2042
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295075380 | Other | GROUP NPI |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 72329 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616457600000",
"number": "1356857585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1307 8TH AVE STE 310",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761044140",
"telephone_number": "817-851-2042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1307 8TH AVE STE 310",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761044140",
"telephone_number": "817-851-2042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASTINGS",
"first_name": "JEFFREY",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-12-26",
"last_updated": "2021-03-23",
"certification_date": "2021-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "72329",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "72329",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1295075380",
"state": null
}
],
"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 Mar 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.