Active NPI
Courtney Wilson, LPC
- Mental Health Counselor
- Fort Worth, TX
National Provider Identifier
1467198853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 84085
- Practice address
- 10701 Highland Ridge Rd
Fort Worth, TX 76108-6918 - Phone
- (817) 602-4170
- NPI assigned
- May 9, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 84085 | TX | Primary |
Addresses
Primary practice location
10701 Highland Ridge Rd
Fort Worth, TX 76108-6918
Mailing address
10701 Highland Ridge Rd
Fort Worth, TX 76108-6918
Phone (682) 350-3332
Other practice location 1
2915 S Burleson Blvd
Burleson, TX 76028-1878
Phone (817) 447-3001
Other practice location 2
700 Willow Xing E
Willow Park, TX 76008-5743
Phone (682) 350-3332
Other practice location 3
9899 E Bankhead Hwy Ste 100
Aledo, TX 76008-2698
Phone (817) 602-4170
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 |
|---|---|---|---|
| 84085 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739232000000",
"number": "1467198853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10701 HIGHLAND RIDGE RD",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761086918",
"telephone_number": "682-350-3332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10701 HIGHLAND RIDGE RD",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761086918",
"telephone_number": "817-602-4170"
}
],
"practiceLocations": [
{
"address_1": "2915 S Burleson Blvd",
"address_purpose": "LOCATION",
"city": "Burleson",
"state": "TX",
"postal_code": "760281878",
"country_code": "US",
"telephone_number": "817-447-3001",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "700 Willow Xing E",
"address_purpose": "LOCATION",
"city": "Willow Park",
"state": "TX",
"postal_code": "760085743",
"country_code": "US",
"telephone_number": "682-350-3332",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9899 E Bankhead Hwy Ste 100",
"address_purpose": "LOCATION",
"city": "Aledo",
"state": "TX",
"postal_code": "760082698",
"country_code": "US",
"telephone_number": "817-602-4170",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILSON",
"first_name": "COURTNEY",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-09",
"last_updated": "2025-02-11",
"certification_date": "2025-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "84085",
"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 Feb 11, 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.