Organization Active NPI

Clearfork Academy LP

  • Substance Abuse Rehabilitation Facility
  • Fort Worth, TX
National Provider Identifier
1558818534
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
CLEARFORK ACADEMY LP
Practice address
7820 Hanger Cut Off
Fort Worth, TX 76135
Phone
(817) 714-1311
NPI assigned
Sep 7, 2016
Last updated
Jul 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Authorized official

Name
Austin Dale Davis, LPCNPI 1184906398
Title
Founder and Ceo
Phone
(817) 714-1311

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
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

7820 Hanger Cut Off
Fort Worth, TX 76135

Mailing address

7826 Hanger Cut Off
Fort Worth, TX 76135
Phone (817) 714-1311

Other practice location 1

3880 Hulen St Ste 410
Fort Worth, TX 76107-7274
Phone (817) 259-2597

Other practice location 2

4100 Fairway Dr Ste 200
Carrollton, TX 75010-6527
Phone (817) 259-2597

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2299372Clearfork Academy LP4100 Fairway CT Suite 200, Carrollton, TX 75010Certificate of waiverFeb 19, 2028
45D2299375Clearfork Academy LP3880 Hulen St Suite 410, Fort Worth, TX 76107Certificate of waiverFeb 19, 2028

National Provider Directory

National Provider Directory

Locations

3880 Hulen St
Ste 410
Fort Worth, TX 76107
Phone (817) 259-2597

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721260800000",
    "number": "1558818534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7826 HANGER CUT OFF",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76135",
            "telephone_number": "817-714-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7820 HANGER CUT OFF",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76135",
            "telephone_number": "817-714-1311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3880 Hulen St Ste 410",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761077274",
            "country_code": "US",
            "telephone_number": "817-259-2597",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4100 Fairway Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "TX",
            "postal_code": "750106527",
            "country_code": "US",
            "telephone_number": "817-259-2597",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CLEARFORK ACADEMY LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-07",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "AUSTIN",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "FOUNDER AND CEO",
        "authorized_official_telephone_number": "817-714-1311",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "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 Jul 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.