Active NPI
Angelica Tibeca Matthews, LPC ASSOCIATE
- Mental Health Counselor
- Fort Worth, TX
National Provider Identifier
1437993771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- PRE-LICENSED
- Practice address
- 600 W 6TH St
Fort Worth, TX 76102-3684 - Phone
- (682) 258-6756
- NPI assigned
- Jun 21, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | PRE-LICENSE | TX | |
| Mental Health Counselor | 101YM0800X | PRE-LICENSED | TX | Primary |
Addresses
Primary practice location
600 W 6TH St
Fort Worth, TX 76102-3684
Mailing address
1017 Duane Dr
Azle, TX 76020-1929
Phone (915) 974-0043
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 |
|---|---|---|---|
| PRE-LICENSE | TX | MD | Counselor |
| PRE-LICENSED | TX | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745884800000",
"number": "1437993771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1017 DUANE DR",
"city": "AZLE",
"state": "TX",
"postal_code": "760201929",
"telephone_number": "915-974-0043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 W 6TH ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761023684",
"telephone_number": "682-258-6756"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTHEWS",
"first_name": "ANGELICA",
"middle_name": "TIBECA",
"credential": "LPC ASSOCIATE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-21",
"last_updated": "2025-04-29",
"certification_date": "2025-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "PRE-LICENSE",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "PRE-LICENSED",
"primary": true
}
],
"identifiers": [],
"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 Apr 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.