Individual provider Active NPI

Chilando Melody Chitobolo, LPC-A

  • Mental Health Counselor
  • Fortworth, TX
National Provider Identifier
1679460075
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
95295 Issued in TX
Practice address
600 W. 6TH Street
Suite 469
Fortworth, TX 76102
Phone
(469) 759-0875
NPI assigned
Jun 19, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 95295 TX Primary

Addresses

Primary practice location

600 W. 6TH Street
Suite 469
Fortworth, TX 76102

Mailing address

600 W. 6TH Street
Suite 469
Fortworth, TX 76102
Phone (469) 759-0875

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

State licenses

LicenseStateTypeSpecialty
95295TXMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1750291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1679460075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W. 6TH STREET",
            "address_2": "SUITE 469",
            "city": "FORTWORTH",
            "state": "TX",
            "postal_code": "76102",
            "telephone_number": "469-759-0875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W. 6TH STREET",
            "address_2": "SUITE 469",
            "city": "FORTWORTH",
            "state": "TX",
            "postal_code": "76102",
            "telephone_number": "469-759-0875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHITOBOLO",
        "first_name": "CHILANDO",
        "middle_name": "MELODY",
        "credential": "LPC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-19",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "95295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fortworth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.

Verify at the official NPI Registry.