Individual provider Active NPI

Mariah Delainey Cordery, MA, LPC, CMHC

  • Professional Counselor
  • Weatherford, TX
National Provider Identifier
1669090205
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
80090 Issued in TX
Practice address
1508 Santa Fe Dr Ste 304
Weatherford, TX 76086-5859
Phone
(817) 255-2652
Fax
(817) 255-2657
NPI assigned
Jul 9, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 11751015-6004 UT
Professional Counselor 101YP2500X 80090 TX Primary

Addresses

Primary practice location

1508 Santa Fe Dr Ste 304
Weatherford, TX 76086-5859

Mailing address

4509 Greenham LN
Crowley, TX 76036-3791
Phone (325) 650-1431

Other practice location 1

3200 Sanguinet St
Fort Worth, TX 76107-5355
Phone (817) 255-2652

Other practice location 2

4509 Greenham Ln
Crowley, TX 76036-3791
Phone (325) 650-1431

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240429000281 TX Practitioner - Mental Health Counselor 0840630505 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lena Pope Home, Inc.Group PAC ID 0143230631, 10 clinicians

Practice addresses (Care Compare)

1508 Santa Fe Dr
Suite 304
Weatherford, TX 76086-5859
Phone (817) 255-2652

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
11751015-6004UTMDMental Health Counselor
80090TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lena Pope Home, Inc. Professional CurrentSince Apr 11, 2024 Accepting new patients

Locations

3200 Sanguinet St
Fort Worth, TX 76107
Phone (817) 255-2500

1508 Santa Fe Dr
Ste 304
Weatherford, TX 76086
Phone (817) 731-7655

Organizations & group practices 1

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": "1594252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1669090205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4509 GREENHAM LN",
            "city": "CROWLEY",
            "state": "TX",
            "postal_code": "760363791",
            "telephone_number": "325-650-1431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 SANTA FE DR STE 304",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760865859",
            "telephone_number": "817-255-2652",
            "fax_number": "817-255-2657"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3200 Sanguinet St",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761075355",
            "country_code": "US",
            "telephone_number": "817-255-2652",
            "fax_number": "817-255-2657",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4509 Greenham Ln",
            "address_purpose": "LOCATION",
            "city": "Crowley",
            "state": "TX",
            "postal_code": "760363791",
            "country_code": "US",
            "telephone_number": "325-650-1431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORDERY",
        "first_name": "MARIAH",
        "middle_name": "DELAINEY",
        "credential": "MA, LPC, CMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-09",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "11751015-6004",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "80090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weatherford, TX

Sources for this page

Verify at the official NPI Registry.