Organization Active NPI

Deyoung Consulting Inc.

  • Marriage & Family Therapist
  • Fort Worth, TX
National Provider Identifier
1487736682
Registry record updated Sep 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
4796 Issued in TX
Legal business name
DEYOUNG CONSULTING INC.
Practice address
4928 Park Brook Dr
Fort Worth, TX 76137-5412
Phone
(817) 988-8242
Fax
(817) 656-5544
NPI assigned
Oct 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2010

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

Authorized official

Name
Mr. Joseph Mark Deyoung, LMFTNPI 1376852046
Title
President
Phone
(817) 656-5544

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 4796 TX Primary

Addresses

Primary practice location

4928 Park Brook Dr
Fort Worth, TX 76137-5412

Mailing address

4928 Park Brook Dr
Fort Worth, TX 76137-5412
Phone (817) 988-8242

Other identifiers 1

IdentifierTypeStateIssuer
028434101MedicaidTX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284076800000",
    "number": "1487736682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4928 PARK BROOK DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761375412",
            "telephone_number": "817-988-8242",
            "fax_number": "817-656-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4928 PARK BROOK DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761375412",
            "telephone_number": "817-988-8242",
            "fax_number": "817-656-5544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEYOUNG CONSULTING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2010-09-10",
        "status": "A",
        "authorized_official_last_name": "DEYOUNG",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-656-5544",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "4796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "028434101",
            "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 Sep 10, 2010; 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.