Active NPI
Forged Under Fire Counseling & Consulting LLC
- Professional Counselor
- Hurst, TX
National Provider Identifier
1720849342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- FORGED UNDER FIRE COUNSELING & CONSULTING LLC
- Practice address
- 1240 Southridge CT Ste 104
Hurst, TX 76053-4306 - Phone
- (682) 288-9292
- NPI assigned
- Jan 22, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Randall Cribbs, LPC
- Title
- Owner
- Phone
- (682) 288-9292
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
1240 Southridge CT Ste 104
Hurst, TX 76053-4306
Mailing address
1240 Southridge CT Ste 104
Hurst, TX 76053-4306
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241210001985 | TX | Part B Supplier - Clinic/Group Practice | 2668908922 |
Receives reassigned benefits from 1 practitioner Practice locations: Bedford, TX |
National Provider Directory
National Provider DirectoryLocations
1109 Bedford Rd
Ste A
Bedford, TX 76022
Phone (817) 602-1848
1240 Southridge Ct
Ste 104
Hurst, TX 76053
Phone (682) 288-9292
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705881600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1705881600000",
"number": "1720849342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1240 SOUTHRIDGE CT STE 104",
"city": "HURST",
"state": "TX",
"postal_code": "760534306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1240 SOUTHRIDGE CT STE 104",
"city": "HURST",
"state": "TX",
"postal_code": "760534306",
"telephone_number": "682-288-9292"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FORGED UNDER FIRE COUNSELING & CONSULTING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-22",
"last_updated": "2024-01-22",
"certification_date": "2024-01-20",
"status": "A",
"authorized_official_last_name": "CRIBBS",
"authorized_official_first_name": "RANDALL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "682-288-9292",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hurst, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.