Active NPI
Lawrin Dean, LPC
- Professional Counselor
- Fort Worth, TX
National Provider Identifier
1689798563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 15651
- Practice address
- 301 W Rosedale St
Fort Worth, TX 76104-4857 - Phone
- (817) 338-4471
- Fax
- (817) 338-1811
- NPI assigned
- Mar 18, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 15651 | TX | Primary |
Addresses
Primary practice location
301 W Rosedale St
Fort Worth, TX 76104-4857
Mailing address
301 W Rosedale St
Fort Worth, TX 76104-4857
Phone (817) 338-4471
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1777930-02 | Medicaid | TX | |
| 177792201 | Medicaid | TX | |
| 177793001 | Medicaid | TX |
Other names 1
- Ms. Lawrin Fultz
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 |
|---|---|---|---|
| 15651 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371772800000",
"number": "1689798563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 W ROSEDALE ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761044857",
"telephone_number": "817-338-4471",
"fax_number": "817-338-1811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 W ROSEDALE ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761044857",
"telephone_number": "817-338-4471",
"fax_number": "817-338-1811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEAN",
"first_name": "LAWRIN",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-18",
"last_updated": "2013-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "15651",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1777930-02",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "177792201",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "177793001",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LAWRIN",
"last_name": "FULTZ",
"prefix": "MS.",
"credential": "LPC",
"code": "1",
"type": "Former Name"
}
]
}
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 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.