Organization Active NPI

Family Forward Therapy

  • Mental Health Counselor
  • Forney, TX
National Provider Identifier
1417844028
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
FAMILY FORWARD THERAPY
Practice address
1621 Pegasus Dr
Forney, TX 75126-1330
Phone
(323) 251-7543
NPI assigned
Jun 18, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Authorized official

Name
Mr. Roberto McClure Martinez Jr.NPI 1194337477
Title
Owner
Phone
(323) 251-7543

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1621 Pegasus Dr
Forney, TX 75126-1330

Mailing address

1621 Pegasus Dr
Forney, TX 75126-1330
Phone (323) 251-7543

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250715001847 TX Part B Supplier - Clinic/Group Practice 9032624440 Receives reassigned benefits from 1 practitioner
Practice locations: Forney, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1750204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750204800000",
    "number": "1417844028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 PEGASUS DR",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751261330",
            "telephone_number": "323-251-7543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 PEGASUS DR",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751261330",
            "telephone_number": "323-251-7543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FORWARD THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-18",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_middle_name": "MCCLURE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-251-7543",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.