Organization Active NPI

Andrea Harbaugh LPC PA

  • Professional Counselor
  • Fort Worth, TX
National Provider Identifier
1467699652
Registry record updated Jan 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
15280 Issued in TX
Legal business name
ANDREA HARBAUGH LPC PA
Practice address
3840 Hulen St
Suite 602
Fort Worth, TX 76107-7277
Phone
(817) 735-4165
Fax
(817) 735-4688
NPI assigned
Jan 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2009

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

Authorized official

Name
Mrs. Andrea D Harbaugh, MA LPC
Title
President
Phone
(817) 735-4165

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 15280 TX Primary

Addresses

Primary practice location

3840 Hulen St
Suite 602
Fort Worth, TX 76107-7277

Mailing address

3840 Hulen St
Suite 602
Fort Worth, TX 76107-7277
Phone (817) 735-4165

Other identifiers 1

IdentifierTypeStateIssuer
146244201MedicaidTX

National Provider Directory

National Provider Directory

Locations

3840 Hulen St
Ste 602
Fort Worth, TX 76107
Phone (817) 729-3034

Practitioners & affiliated clinicians

Practitioners 2

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": "1231459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231459200000",
    "number": "1467699652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3840 HULEN ST",
            "address_2": "SUITE 602",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761077277",
            "telephone_number": "817-735-4165",
            "fax_number": "817-735-4688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3840 HULEN ST",
            "address_2": "SUITE 602",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761077277",
            "telephone_number": "817-735-4165",
            "fax_number": "817-735-4688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREA HARBAUGH LPC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-09",
        "last_updated": "2009-01-09",
        "status": "A",
        "authorized_official_last_name": "HARBAUGH",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-735-4165",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "15280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146244201",
            "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 Jan 9, 2009; 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.