Oakmont Counseling Center

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

62483 Issued in TX

Legal business name

OAKMONT COUNSELING CENTER

Practice address

7833 Oakmont Blvd
# 110
Fort Worth, TX 76132-4231

Phone

(817) 665-0583

Fax

(817) 370-8977

NPI assigned

Aug 18, 2009

Organization subpart

No

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

Authorized official

Name

Jerri L Pedro, NCC, LPC, RPT

Title

Owner

Phone

(817) 665-0583

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250553600000",
    "number": "1740412204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7833 OAKMONT BLVD.",
            "address_2": "# 110",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76132",
            "telephone_number": "817-665-0583",
            "fax_number": "817-370-8977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7833 OAKMONT BLVD",
            "address_2": "# 110",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324231",
            "telephone_number": "817-665-0583",
            "fax_number": "817-370-8977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKMONT COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-18",
        "last_updated": "2009-08-18",
        "status": "A",
        "authorized_official_last_name": "PEDRO",
        "authorized_official_first_name": "JERRI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-665-0583",
        "authorized_official_credential": "NCC, LPC, RPT"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "NC",
            "license": "209525",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "62483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2009; 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.