Active NPI
David Charles Stilson, PHD
- Marriage & Family Therapist
- Fort Worth, TX
National Provider Identifier
1659417418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1423
- Practice address
- 4388 W Vickery #204
Fort Worth, TX 76107 - Phone
- (817) 980-5104
- Fax
- (817) 763-9348
- NPI assigned
- Jan 29, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 09407 | TX | |
| Marriage & Family Therapist | 106H00000X | 1423 | TX | Primary |
Addresses
Primary practice location
4388 W Vickery #204
Fort Worth, TX 76107
Mailing address
801 Kate St So
Fort Worth, TX 76108
Phone (817) 246-4873
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09407 | TX | MD | Counselor |
| 1423 | TX | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1659417418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 KATE ST SO",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "76108",
"telephone_number": "817-246-4873",
"fax_number": "817-763-9348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4388 W VICKERY #204",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "76107",
"telephone_number": "817-980-5104",
"fax_number": "817-763-9348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STILSON",
"first_name": "DAVID",
"middle_name": "CHARLES",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-29",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "09407",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "1423",
"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 Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.