Individual provider Active NPI

Rainisha La Verne Barton, LPC

  • Mental Health Counselor
  • Fort Worth, TX
National Provider Identifier
1730564485
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
70918 Issued in TX
Practice address
6777 Camp Bowie Blvd Ste 229
Fort Worth, TX 76116-7157
Phone
(682) 703-1311
Fax
(817) 887-1694
NPI assigned
Jul 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 70918 TX Primary
Professional Counselor 101YP2500X 70918 TX

Addresses

Primary practice location

6777 Camp Bowie Blvd Ste 229
Fort Worth, TX 76116-7157

Mailing address

6777 Camp Bowie Blvd Ste 229
Fort Worth, TX 76116-7157
Phone (682) 703-1311

Other practice location 1

5668 Edwards Ranch Rd Ste 301
Fort Worth, TX 76109-4107
Phone (817) 505-8504

Other practice location 2

9510 Cherrycrest Apt 4245
Benbrook, TX 76126-3195
Phone (682) 500-4614

Other identifiers 2

IdentifierTypeStateIssuer
347341502MedicaidTX
347341501MedicaidTX

Other names 1

  • Miss Rainisha La Verne Bradley Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240904002568 CO Practitioner - Mental Health Counselor 5496295537 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Joseph Yeretsian PCGroup PAC ID 5597893313, 13 clinicians

Practice addresses (Care Compare)

155 Boardwalk Dr
Suite 400
Fort Collins, CO 80525-3040
Phone (970) 549-0235

4770 Baseline Rd
Suite 300
Boulder, CO 80303-2669
Phone (720) 798-4516

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
70918TXMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Mark David Levine, MD Psychiatrists Professional Corporation Mental Health CurrentSince Mar 18, 2025 Accepting new patients
Joseph Yeretsian, P.C. CurrentSince Aug 20, 2024 Accepting new patients

Locations

4770 Baseline Rd
Ste 300
Boulder, CO 80303
Phone (720) 798-4516

155 Boardwalk Dr
Ste 400
Fort Collins, CO 80525
Phone (970) 549-0235

5668 Edwards Ranch Rd
Ste 301
Fort Worth, TX 76109
Phone (682) 292-7951

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1437609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1730564485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6777 CAMP BOWIE BLVD STE 229",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761167157",
            "telephone_number": "682-703-1311",
            "fax_number": "817-887-1694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6777 CAMP BOWIE BLVD STE 229",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761167157",
            "telephone_number": "682-703-1311",
            "fax_number": "817-887-1694"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5668 Edwards Ranch Rd Ste 301",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761094107",
            "country_code": "US",
            "telephone_number": "817-505-8504",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9510 Cherrycrest Apt 4245",
            "address_purpose": "LOCATION",
            "city": "Benbrook",
            "state": "TX",
            "postal_code": "761263195",
            "country_code": "US",
            "telephone_number": "682-500-4614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARTON",
        "first_name": "RAINISHA",
        "middle_name": "LA VERNE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-23",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "70918",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "70918",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "347341502",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "347341501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAINISHA",
            "last_name": "BRADLEY",
            "middle_name": "LA VERNE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.