NPIMap

Organization Active NPI

Merit Family Services

  • Professional Counselor
  • Fort Worth, TX
National Provider Identifier
1598970964
Registry record updated Aug 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
18630 Issued in TX
Legal business name
MERIT FAMILY SERVICES
Practice address
3807 E Lancaster Ave
Fort Worth, TX 76103-3522
Phone
(817) 413-9463
Fax
(817) 413-9189
NPI assigned
May 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2007

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

Authorized official

Name
Carol Jones Blackmon
Title
Executive Director
Phone
(817) 413-9463

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 18630 TX Primary

Addresses

Primary practice location

3807 E Lancaster Ave
Fort Worth, TX 76103-3522

Mailing address

3807 E Lancaster Ave
Fort Worth, TX 76103-3522
Phone (817) 413-9463

Other names 1

  • Merit Chemical Dependency Program, Inc Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Merit Chemical Dependency Program Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186963200000",
    "number": "1598970964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3807 E LANCASTER AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761033522",
            "telephone_number": "817-413-9463",
            "fax_number": "817-413-9189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3807 E LANCASTER AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761033522",
            "telephone_number": "817-413-9463",
            "fax_number": "817-413-9189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIT FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2007-08-13",
        "status": "A",
        "authorized_official_last_name": "BLACKMON",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "JONES",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "817-413-9463"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "18630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Merit Chemical Dependency Program, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Aug 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.