Active NPI
Kosisochi William Udozorh, LMFT-ASSOCIATE
- Professional Counselor
- Fort Worth, TX
National Provider Identifier
1528820693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 8340 Mojave TRL
Fort Worth, TX 76116-3638 - Phone
- (817) 771-3236
- NPI assigned
- Jan 24, 2024
- Sex
- Male
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
8340 Mojave TRL
Fort Worth, TX 76116-3638
Mailing address
2900 Robin LN
Mesquite, TX 75149-3583
Phone (469) 412-3893
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706054400000",
"number": "1528820693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 ROBIN LN",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751493583",
"telephone_number": "469-412-3893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8340 MOJAVE TRL",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761163638",
"telephone_number": "817-771-3236"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UDOZORH",
"first_name": "KOSISOCHI",
"middle_name": "WILLIAM",
"credential": "LMFT-ASSOCIATE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-01-24",
"last_updated": "2024-01-24",
"certification_date": "2024-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"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 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.