Individual provider Active NPI

Heather Dawn Perez Trowbridge, LPC

  • Mental Health Counselor
  • Fort Worth, TX
National Provider Identifier
1396102356
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
71867 Issued in TX
Practice address
6777 Camp Bowie Blvd Ste 215
Fort Worth, TX 76116-7157
Phone
(682) 231-1456
Fax
(817) 887-1694
NPI assigned
Jan 21, 2016
Last updated
Jun 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 71867 TX Primary
Professional Counselor 101YP2500X 71867 TX

Addresses

Primary practice location

6777 Camp Bowie Blvd Ste 215
Fort Worth, TX 76116-7157

Mailing address

6777 Camp Bowie Blvd Ste 215
Fort Worth, TX 76116-7157
Phone (682) 231-1456

Other identifiers 1

IdentifierTypeStateIssuer
371098001MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240418003900 TX Practitioner - Mental Health Counselor 0042659393 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Heather D Perez LPC PLLC Mental Health CurrentSince Jan 5, 2024 Accepting new patients
Fair Winds Assessment and Counseling Center PLLC Past Accepting new patients

Locations

6777 Camp Bowie Blvd
Ste 215
Fort Worth, TX 76116
Phone (682) 703-1311

6777 Camp Bowie Blvd
Ste 229
Fort Worth, TX 76116
Phone (682) 231-1456

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1453334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1396102356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6777 CAMP BOWIE BLVD STE 215",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761167157",
            "telephone_number": "682-231-1456",
            "fax_number": "817-887-1694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6777 CAMP BOWIE BLVD STE 215",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761167157",
            "telephone_number": "682-231-1456",
            "fax_number": "817-887-1694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROWBRIDGE",
        "first_name": "HEATHER",
        "middle_name": "DAWN PEREZ",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-21",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "71867",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "71867",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "371098001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.