Intentional Hearts Counseling and Consulting PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

INTENTIONAL HEARTS COUNSELING AND CONSULTING PLLC

Practice address

5613 Mount Storm Way
Fort Worth, TX 76179-4438

Phone

(773) 996-3797

NPI assigned

Jan 8, 2024

Organization subpart

No

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

Authorized official

Name

Tamelia Williams

Title

Practice Administrator

Phone

(773) 996-3797

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tishara A. Jackson, ED.D, LCDC, CSC

  • Mental Health Counselor
  • Fort Worth, TX
  • NPI 1477319119
  NPD
• Marcene R. Kinley, LCDC

  • Mental Health Counselor
  • Fort Worth, TX
  • NPI 1245096999
  NPD

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

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743552000000",
    "number": "1720858947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5613 MOUNT STORM WAY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761794438",
            "telephone_number": "773-996-3797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5613 MOUNT STORM WAY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761794438",
            "telephone_number": "773-996-3797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTENTIONAL HEARTS COUNSELING AND CONSULTING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-08",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "TAMELIA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "773-996-3797"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.