Individual provider Active NPI

Kourtney Garcia, LPC

  • Professional Counselor
  • Weatherford, TX
National Provider Identifier
1538872163
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
84580 Issued in TX
Practice address
1715 Santa Fe Dr
Weatherford, TX 76086-6419
Phone
(817) 599-7634
NPI assigned
Dec 28, 2022
Last updated
Nov 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Professional Counselor 101YP2500X 84580 TX Primary

Addresses

Primary practice location

1715 Santa Fe Dr
Weatherford, TX 76086-6419

Mailing address

2101 W Pearl St
Granbury, TX 76048-1894

Other names 1

  • Kourtney Smith Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240125003546 TX Practitioner - Mental Health Counselor 0648623645 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
84580TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Brave Health Medical Group PA Mental Health CurrentSince Nov 1, 2025 Accepting new patients
Pecan Valley MHMR Region CurrentSince Jan 1, 2024 Accepting new patients
Pecan Valley MHMR Region Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

1601 N Anglin St
Cleburne, TX 76031
Phone (817) 202-2732

675 Town Square Blvd
Ste 200
Garland, TX 75040
Phone (305) 579-9538

104 Pirate Dr
Granbury, TX 76048
Phone (817) 573-2662

2101 W Pearl St
Granbury, TX 76048
Phone (817) 552-2007

906 W Lingleville Rd
Stephenville, TX 76401
Phone (254) 968-4181

1715 Santa Fe Dr
Weatherford, TX 76086
Phone (817) 579-4400

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1672185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1538872163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 W PEARL ST",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760481894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 SANTA FE DR",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760866419",
            "telephone_number": "817-599-7634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "KOURTNEY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-28",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "84580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KOURTNEY",
            "last_name": "SMITH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Weatherford, TX

Sources for this page

Verify at the official NPI Registry.