Active NPI
Carol Lennox, LPC
- Professional Counselor
- Fort Worth, TX
National Provider Identifier
1528090453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 16495
- Practice address
- 6040 Camp Bowie Blvd
Suite 16
Fort Worth, TX 76116-5612 - Phone
- (817) 933-2325
- Fax
- (817) 377-0720
- NPI assigned
- Jul 7, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 16495 | TX | Primary |
Addresses
Primary practice location
6040 Camp Bowie Blvd
Suite 16
Fort Worth, TX 76116-5612
Mailing address
6040 Camp Bowie Blvd
Suite 16
Fort Worth, TX 76116-5612
Phone (817) 933-2325
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1562241-02 | Medicaid | TX |
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 |
|---|---|---|---|
| 16495 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341964800000",
"number": "1528090453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6040 CAMP BOWIE BLVD",
"address_2": "SUITE 16",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761165612",
"telephone_number": "817-933-2325",
"fax_number": "817-377-0720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6040 CAMP BOWIE BLVD",
"address_2": "SUITE 16",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761165612",
"telephone_number": "817-933-2325",
"fax_number": "817-377-0720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LENNOX",
"first_name": "CAROL",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-07",
"last_updated": "2012-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "16495",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1562241-02",
"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 Jul 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.