NPIMap

Organization Active NPI

SW FW Mental Health , PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ft Worth, TX
National Provider Identifier
1427769348
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SW FW MENTAL HEALTH , PLLC
Practice address
6628 Bryant Irvin Rd Ste 200
Ft Worth, TX 76132-4221
Phone
(214) 842-9581
NPI assigned
Dec 12, 2022
Organization subpart
Yes
Parent organization
ELLIE FAMILY SERVICES, PLLPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 12, 2022

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

Authorized official

Name
Ashley Smith, LCSW
Title
Clinical Director
Phone
(214) 842-9581

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

6628 Bryant Irvin Rd Ste 200
Ft Worth, TX 76132-4221

Mailing address

103 Wilshire Dr
Euless, TX 76040-4101
Phone (214) 842-9581

Other names 2

  • Ellie Mental Health Doing business as
  • Ellie Mental Health - Southwest Fort Worth Doing business as

National Provider Directory

National Provider Directory
Part of
Ellie Family Services PLLP

Locations

6628 Bryant Irvin Rd
Ste 200
Ft Worth, TX 76132
Phone (214) 842-9581

Practitioners & affiliated clinicians

Practitioners 3

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": "1670803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670803200000",
    "number": "1427769348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 WILSHIRE DR",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760404101",
            "telephone_number": "214-842-9581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6628 BRYANT IRVIN RD STE 200",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761324221",
            "telephone_number": "214-842-9581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SW FW MENTAL HEALTH , PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELLIE FAMILY SERVICES, PLLP",
        "enumeration_date": "2022-12-12",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-09",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "214-842-9581",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ellie Mental Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ellie Mental Health - Southwest Fort Worth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ft Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; 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.