Individual provider Active NPI

Merrill L Littleberry, LCSW, LCDC, CCM

  • Addiction (Substance Use Disorder) Counselor
  • Fort Worth, TX
National Provider Identifier
1649235060
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
9615 Issued in TX
Practice address
4200 South Fwy
Suite 424
Fort Worth, TX 76115-1400
Phone
(817) 920-9321
Fax
(817) 920-9336
NPI assigned
Apr 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 9615 TX Primary
Clinical Social Worker 1041C0700X 28682 TX

Addresses

Primary practice location

4200 South Fwy
Suite 424
Fort Worth, TX 76115-1400

Mailing address

4200 South Fwy Ste 424
Fort Worth, TX 76115-1405
Phone (817) 920-9321

Other practice location 1

51 SW Lee St
Newport, OR 97365-3823
Phone (541) 574-5960

Other identifiers 4

IdentifierTypeStateIssuer
63003OtherTXHORIZON HEALTH
51MXOtherTXBC/BS
177933201MedicaidTX
560613OtherTXVALUE OPTIONS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060104001010 TX Practitioner - Clinical Social Worker 6901829993 Practice locations: Grand Prairie, TX; Fort Worth, TX
I20230828002697 OR Practitioner - Clinical Social Worker 6901829993 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
County of LincolnGroup PAC ID 3375439862, 28 clinicians

Practice addresses (Care Compare)

51 SW Lee St
Newport, OR 97365-3823
Phone (541) 574-5960

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28682TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
County of Lincoln Current Accepting new patients
County of Lincoln CurrentSince Jun 12, 2023 Accepting new patients
County of Lincoln CurrentSince Jun 12, 2023 Accepting new patients
Tri-S Counseling & Education Clinical Past Accepting new patients
Inactive - County of Lincoln Past Accepting new patients

Locations

4422 NE Devils Lake Blvd
Ste 2
Lincoln City, OR 97367
Phone (541) 265-4196

36 SW Nye St
Newport, OR 97365
Phone (541) 265-0445

51 SW Lee St
Newport, OR 97365
Phone (541) 265-0445

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1649235060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 SOUTH FWY STE 424",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761151405",
            "telephone_number": "817-920-9321",
            "fax_number": "817-920-9336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 SOUTH FWY",
            "address_2": "SUITE 424",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761151400",
            "telephone_number": "817-920-9321",
            "fax_number": "817-920-9336"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "51 SW Lee St",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "OR",
            "postal_code": "973653823",
            "country_code": "US",
            "telephone_number": "541-574-5960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LITTLEBERRY",
        "first_name": "MERRILL",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "LCSW, LCDC, CCM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "9615",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "28682",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON HEALTH",
            "identifier": "63003",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "51MX",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "177933201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "560613",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.