Catholic Charities Diocese of Fort Worth Inc

Primary specialty

ContractorTaxonomy code 171W00000X

Legal business name

CATHOLIC CHARITIES DIOCESE OF FORT WORTH INC

Practice address

2701 Burchill Rd N
Fort Worth, TX 76105-3012

Phone

(817) 413-3912

Fax

(817) 535-8779

NPI assigned

Jul 10, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Monica Gail Quiroz

Title

Vice President of Administration

Phone

(817) 413-3912

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Russell Martin Dean, LPC

  • Mental Health Counselor
  • Fort Worth, TX
  • NPI 1679680094
  NPD (past)
• Merry Louise Floyd, LCSW

  • Clinical Social Worker
  • Fort Worth, TX
  • NPI 1104938968
  NPD (past)
• Mary Elouise Graves, LMFT

  • Marriage & Family Therapist
  • Fort Worth, TX
  • NPI 1205941598
  NPD (past)
• Charles Henry Lavine, LPC-S

  • Mental Health Counselor
  • Fort Worth, TX
  • NPI 1447482641
  NPD (past)

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1386807204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 BURCHILL RD N",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761053012",
            "telephone_number": "817-413-3912",
            "fax_number": "817-535-8779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 BURCHILL RD N",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761053012",
            "telephone_number": "817-413-3912",
            "fax_number": "817-535-8779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC CHARITIES DIOCESE OF FORT WORTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-10",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "QUIROZ",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "GAIL",
        "authorized_official_title_or_position": "VICE PRESIDENT OF ADMINISTRATION",
        "authorized_official_telephone_number": "817-413-3912",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111439903",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amie Cates
• Damon A Cates, PA
• Jessica Renee Cates, MED. , ATC, CSCS
• Traci Cates, SLP
• Catherine a Colquitt MD P.a.
• Catholic Charities of Fort Worth, Inc
• Catholic Community of the Holy Spirit (Caritas Community Assistance Services)
• Carolyn Caton, LCDC
• Tyler Caton
• Kelsey Catt, LMSW

• Contractor in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Contractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; 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.