Active NPI
Suzanne Reese Hooper, L.P.C.
- Professional Counselor
- Fort Worth, TX
National Provider Identifier
1366583320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 19931
- Practice address
- 8551 Boat Club Rd Ste 105
Fort Worth, TX 76179-3638 - Phone
- (817) 236-3990
- Fax
- (817) 236-3990
- NPI assigned
- Feb 10, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 19931 | TX | Primary |
Addresses
Primary practice location
8551 Boat Club Rd Ste 105
Fort Worth, TX 76179-3638
Mailing address
7805 Regatta CT
Fort Worth, TX 76179-2742
Phone (817) 236-4478
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 177740101 | Medicaid | TX |
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 |
|---|---|---|---|
| 19931 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366583320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7805 REGATTA CT",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761792742",
"telephone_number": "817-236-4478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8551 BOAT CLUB RD STE 105",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761793638",
"telephone_number": "817-236-3990",
"fax_number": "817-236-3990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOOPER",
"first_name": "SUZANNE",
"middle_name": "REESE",
"name_prefix": "Ms.",
"credential": "L.P.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "19931",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "177740101",
"state": "TX"
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.