Organization Active NPI

Forged Under Fire Counseling & Consulting LLC

  • Professional Counselor
  • Hurst, TX
National Provider Identifier
1720849342
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
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

Updated by the provider on Jan 22, 2024

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

Authorized official

Name
Randall Cribbs, LPCNPI 1568034312
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)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
O20241210001985 TX Part B Supplier - Clinic/Group Practice 2668908922 Receives reassigned benefits from 1 practitioner
Practice locations: Bedford, TX

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.