Organization Active NPI

New Horizon Counseling Center, LLC

  • Professional Counselor
  • River Oaks, TX
National Provider Identifier
1578863601
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
NEW HORIZON COUNSELING CENTER, LLC
Practice address
4805 Green Oaks Dr
River Oaks, TX 76114-3004
Phone
(817) 624-1222
Fax
(817) 460-0286
NPI assigned
Oct 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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

Authorized official

Name
Laura Dominguez
Title
Director of Operations
Phone
(817) 624-1222

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X

Addresses

Primary practice location

4805 Green Oaks Dr
River Oaks, TX 76114-3004

Mailing address

PO Box 10117
River Oaks, TX 76114-0117
Phone (817) 624-1222

Other practice location 1

1601 E LaMar Blvd Ste 210
Arlington, TX 76011-4464
Phone (817) 522-1095

Other identifiers 3

IdentifierTypeStateIssuer
310624701MedicaidTX
310624702MedicaidTX
310624703MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120920000513 TX Part B Supplier - Clinic/Group Practice 6901054717 Receives reassigned benefits from 6 practitioners
Practice locations: Arlington, TX; River Oaks, TX

National Provider Directory

National Provider Directory

Locations

1601 E Lamar Blvd
Ste 210
Arlington, TX 76011
Phone (817) 522-1095

7616 Camp Bowie West Blvd
Fort Worth, TX 76116
Phone (817) 624-1222

4805 Green Oaks Dr
River Oaks, TX 76114
Phone (817) 624-1222

920 Roberts Cut Off Rd
Ste A
River Oaks, TX 76114
Phone (817) 624-1222

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 31

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.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1287705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708646400000",
    "number": "1578863601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10117",
            "city": "RIVER OAKS",
            "state": "TX",
            "postal_code": "761140117",
            "telephone_number": "817-624-1222",
            "fax_number": "817-624-1213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4805 GREEN OAKS DR",
            "city": "RIVER OAKS",
            "state": "TX",
            "postal_code": "761143004",
            "telephone_number": "817-624-1222",
            "fax_number": "817-460-0286"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 E LaMar Blvd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760114464",
            "country_code": "US",
            "telephone_number": "817-522-1095",
            "fax_number": "817-460-0286",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEW HORIZON COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-22",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A",
        "authorized_official_last_name": "DOMINGUEZ",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "817-624-1222"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "310624701",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "310624702",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "310624703",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in River Oaks, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.