Individual provider Active NPI

Thomas O Massoll, PH.D.

  • Mental Health Counselor
  • Bedford, TX
National Provider Identifier
1467501643
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401000096 Issued in MI
Practice address
2516 Harwood Rd
Bedford, TX 76021-1706
Phone
(817) 358-8500
Fax
(817) 545-9847
NPI assigned
Jan 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6401000096 MI Primary
Mental Health Counselor 101YM0800X 10615 TX
Marriage & Family Therapist 106H00000X 000234 TX

Addresses

Primary practice location

2516 Harwood Rd
Bedford, TX 76021-1706

Mailing address

2516 Harwood Rd
Bedford, TX 76021-1706
Phone (817) 358-8500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240802000136 TX Practitioner - Mental Health Counselor 4284171737 Practice locations: Bedford, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6401000096MIMDMental Health Counselor
000234TXMDMarriage & Family Therapist
10615TXMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1467501643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2516 HARWOOD RD",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760211706",
            "telephone_number": "817-358-8500",
            "fax_number": "817-545-9847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2516 HARWOOD RD",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760211706",
            "telephone_number": "817-358-8500",
            "fax_number": "817-545-9847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSOLL",
        "first_name": "THOMAS",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401000096",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "10615",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "000234",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, TX

Sources for this page

Verify at the official NPI Registry.