Merit Family Services

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1631756-03 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 17, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Carol Jones Blackmon

Title

Executive Director

Phone

(817) 413-9463

Specialties & licenses 2

Addresses

Other names 1

• Merit Chemical Dependency Program, Inc Former legal business name

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387756800000",
    "number": "1629021282",
    "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": "817-471-1227"
        },
        {
            "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": "2006-05-17",
        "last_updated": "2013-12-23",
        "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",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "1631756-03",
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "TX",
            "license": "1631756-02",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Merit Chemical Dependency Program, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Merit Family Services
• Merit Family Services
• Merit Family Services
• Merit Family Services
• Merit Family Services
• Berkeley Merrill, M.D.
• Rhiannon Merriott
• Alyssa Ray Merritt, LMSW
• Jomika F Merritt
• Laura Cassody Merritt, MD

• Professional Counselor in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2013; 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.