Active NPI
Lana Self, LPC
- Professional Counselor
- Fort Worth, TX
National Provider Identifier
1457424483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 16442
- Practice address
- 1604 Bluebonnet Dr
Fort Worth, TX 76111-1513 - Phone
- (214) 732-6121
- NPI assigned
- Nov 16, 2006
- Last updated
- Feb 5, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 16442 | TX | Primary |
Addresses
Primary practice location
1604 Bluebonnet Dr
Fort Worth, TX 76111-1513
Mailing address
1604 Bluebonnet Dr
Fort Worth, TX 76111-1513
Phone (214) 732-6121
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16442 | Other | TX | LPC |
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 |
|---|---|---|---|
| 16442 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Self and Associates | Past | Accepting new patients | |
| Self and Associates | Past | Accepting new patients |
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738713600000",
"number": "1457424483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1604 BLUEBONNET DR",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761111513",
"telephone_number": "214-732-6121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1604 BLUEBONNET DR",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761111513",
"telephone_number": "214-732-6121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELF",
"first_name": "LANA",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-16",
"last_updated": "2025-02-05",
"certification_date": "2025-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "16442",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LPC",
"identifier": "16442",
"state": "TX"
}
],
"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 Feb 5, 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.