Organization Active NPI

Scenic Route Wellness, PLLC

  • Professional Counselor
  • Willow Park, TX
National Provider Identifier
1366258972
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
SCENIC ROUTE WELLNESS, PLLC
Practice address
395 Pitchfork TRL Ste 921
Willow Park, TX 76087-3281
Phone
(817) 213-6734
NPI assigned
Dec 9, 2024
Last updated
Dec 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Authorized official

Name
Brittany Kirk, LPCNPI 1003401530
Title
Owner/Therapist
Phone
(512) 987-8840

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)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

395 Pitchfork TRL Ste 921
Willow Park, TX 76087-3281

Mailing address

200 S Oakridge Dr Ste 101
Hudson Oaks, TX 76087-2501
Phone (512) 987-8840

National Provider Directory

National Provider Directory

Locations

200 S Oakridge Dr
Ste 101
Hudson Oaks, TX 76087
Phone (682) 710-3622

395 Pitchfork Trl
Ste 921
Willow Park, TX 76087
Phone (817) 213-6734

Practitioners & affiliated clinicians

Practitioners 1

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": "1733702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733702400000",
    "number": "1366258972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S OAKRIDGE DR STE 101",
            "city": "HUDSON OAKS",
            "state": "TX",
            "postal_code": "760872501",
            "telephone_number": "512-987-8840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 PITCHFORK TRL STE 921",
            "city": "WILLOW PARK",
            "state": "TX",
            "postal_code": "760873281",
            "telephone_number": "817-213-6734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCENIC ROUTE WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-09",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A",
        "authorized_official_last_name": "KIRK",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "512-987-8840",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willow Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.