Organization Active NPI

Onedayrider

Doing business as kibonge baleke

  • Mental Health Counselor
  • Fort Worth, TX
National Provider Identifier
1730051756
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ONEDAYRIDER
Doing business as
kibonge baleke
Practice address
8665 Las Vegas CT Apt 3020
Fort Worth, TX 76116-0057
Phone
(817) 450-0048
NPI assigned
Sep 19, 2025
Last updated
Sep 19, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
KIBONGE BALEKEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Mr. Kibonge Baleke IV, MDNPI 1497636682
Title
Admin
Phone
(817) 450-0048

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
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

8665 Las Vegas CT Apt 3020
Fort Worth, TX 76116-0057

Mailing address

8665 Las Vegas CT Apt 3020
Fort Worth, TX 76116-0057
Phone (817) 450-0048

Other names 1

  • kibonge baleke Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL kibongebaleke@gmail.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory
Part of
Onedayrider

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1758240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1730051756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8665 LAS VEGAS CT APT 3020",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761160057",
            "telephone_number": "817-450-0048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8665 LAS VEGAS CT APT 3020",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761160057",
            "telephone_number": "817-450-0048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONEDAYRIDER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KIBONGE BALEKE",
        "enumeration_date": "2025-09-19",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "BALEKE",
        "authorized_official_first_name": "KIBONGE",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "817-450-0048",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kibongebaleke@gmail.com",
            "affiliation": "N",
            "endpointDescription": "kibongebaleke@gmail.com",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8665 Las Vegas Ct Apt 3020",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761160057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "kibonge baleke",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 19, 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.