Active NPI
Anthony Eugene Pinckney
- Assisted Living Facility (Mental Illness)
- Fort Worth, TX
National Provider Identifier
1487514295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility (Mental Illness)
- License
- 001011661
- Practice address
- 3612 Ada Ave
Fort Worth, TX 76105-3422 - Phone
- (682) 230-5417
- Fax
- (817) 547-0023
- NPI assigned
- Nov 13, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | 001011661 | TX | |
| Counselor | 101Y00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Assisted Living Facility (Mental Illness) | 3104A0625X | 001011661 | TX | Primary |
| Respite Care | 385H00000X | 001011661 | TX |
Addresses
Primary practice location
3612 Ada Ave
Fort Worth, TX 76105-3422
Mailing address
3612 Ada Ave
Fort Worth, TX 76105-3422
Phone (682) 230-5417
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 |
|---|---|---|---|
| 001011661 | TX | MD | Respite Care |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anthony E Pinckney | Day Training, Developmentally Disabled Services | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Assisted Living Facility (Mental Illness)
- Fort Worth, TX
- NPI 1225346158
Day Training, Developmentally Disabled Services
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769126400000",
"number": "1487514295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3612 ADA AVE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761053422",
"telephone_number": "682-230-5417",
"fax_number": "817-547-0023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3612 ADA AVE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761053422",
"telephone_number": "682-230-5417",
"fax_number": "817-547-0023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINCKNEY",
"first_name": "ANTHONY",
"middle_name": "EUGENE",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-11-13",
"last_updated": "2026-01-23",
"certification_date": "2026-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": "TX",
"license": "001011661",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "3104A0625X",
"taxonomy_group": "",
"desc": "Assisted Living Facility, Assisted Living, Mental Illness",
"state": "TX",
"license": "001011661",
"primary": true
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": "TX",
"license": "001011661",
"primary": false
}
],
"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 Jan 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.