Active NPI
Andrew Dutton, LPC, LCDC
- Professional Counselor
- Fort Worth, TX
National Provider Identifier
1679980031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 72717
- Practice address
- 4316 Bilglade Rd
Fort Worth, TX 76109-5317 - Phone
- (217) 417-1059
- NPI assigned
- Jul 17, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Children's Substance Abuse Rehabilitation Facility | 3245S0500X | 11953 | TX | |
| Professional Counselor | 101YP2500X | 72717 | TX | Primary |
Addresses
Primary practice location
4316 Bilglade Rd
Fort Worth, TX 76109-5317
Mailing address
4316 Bilglade Rd
Fort Worth, TX 76109-5317
Phone (217) 417-1059
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
| License | State | Type | Specialty |
|---|---|---|---|
| 72717 | TX | MD | Pharmacist |
| 11953 | TX | MD | Children's Substance Abuse Rehabilitation Facility |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Better Days Counseling, PLLC | Professional | Current | Accepting new patients |
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": "1405555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591315200000",
"number": "1679980031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4316 BILGLADE RD",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761095317",
"telephone_number": "217-417-1059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4316 BILGLADE RD",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761095317",
"telephone_number": "217-417-1059"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUTTON",
"first_name": "ANDREW",
"credential": "LPC, LCDC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-07-17",
"last_updated": "2020-06-05",
"certification_date": "2020-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "3245S0500X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
"state": "TX",
"license": "11953",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "72717",
"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 Jun 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.