Organization Active NPI

Fort Worth Brief Therapy Center

  • Counselor
  • Fort Worth, TX
National Provider Identifier
1730215724
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
62681 Issued in TX
Legal business name
FORT WORTH BRIEF THERAPY CENTER
Practice address
1400 S Main St
Suite 509
Fort Worth, TX 76104-4909
Phone
(817) 870-1080
Fax
(817) 870-1085
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Elliott Eugene Connie, LPC-INPI 1568503506
Title
Co-Director, Associate Therapist
Phone
(817) 870-1080

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X 62681 TX Primary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 62681 TX
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 62681 TX

Addresses

Primary practice location

1400 S Main St
Suite 509
Fort Worth, TX 76104-4909

Mailing address

1400 S Main St
Suite 509
Fort Worth, TX 76104-4909
Phone (817) 870-1080

National Provider Directory

National Provider Directory
Tax ID family
Fort Worth Brief Therapy Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1400 S Main St
Ste 509
Ft Worth, TX 76104
Phone (817) 870-1080

Practitioners & affiliated clinicians

Practitioners 3

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": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1730215724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 S MAIN ST",
            "address_2": "SUITE 509",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044909",
            "telephone_number": "817-870-1080",
            "fax_number": "817-870-1085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S MAIN ST",
            "address_2": "SUITE 509",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044909",
            "telephone_number": "817-870-1080",
            "fax_number": "817-870-1085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT WORTH BRIEF THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "CONNIE",
        "authorized_official_first_name": "ELLIOTT",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "CO-DIRECTOR, ASSOCIATE THERAPIST",
        "authorized_official_telephone_number": "817-870-1080",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC-I"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "TX",
            "license": "62681",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "62681",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "62681",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 11, 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.