Active NPI
Doryn Adel Roy, MA
- Professional Counselor
- Fort Worth, TX
National Provider Identifier
1538295696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 68015
- Practice address
- 4701 Altamesa Blvd
2B
Fort Worth, TX 76133-6112 - Phone
- (817) 964-0528
- NPI assigned
- Feb 25, 2007
- 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 | 68015 | TX | Primary |
Addresses
Primary practice location
4701 Altamesa Blvd
2B
Fort Worth, TX 76133-6112
Mailing address
PO Box 330051
Fort Worth, TX 76163-0051
Phone (817) 694-0528
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 68015 | Other | TX | TEXAS STATE BOARD OF EXAMINERS OF PROFESSIONAL COUNSELORS |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 68015 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310169600000",
"number": "1538295696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 330051",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761630051",
"telephone_number": "817-694-0528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4701 ALTAMESA BLVD",
"address_2": "2B",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761336112",
"telephone_number": "817-964-0528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROY",
"first_name": "DORYN",
"middle_name": "ADEL",
"name_prefix": "Mrs.",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-25",
"last_updated": "2011-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "68015",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS STATE BOARD OF EXAMINERS OF PROFESSIONAL COUNSELORS",
"identifier": "68015",
"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 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.