Individual provider Active NPI

Susan Allem, LPC

  • Professional Counselor
  • Fort Worth, TX
National Provider Identifier
1740858315
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
81994 Issued in TX
Practice address
4500 Mercantile Plaza Dr Ste 300
Fort Worth, TX 76137-4206
Phone
(737) 392-2223
NPI assigned
Jun 11, 2021
Last updated
Jul 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 81994 TX Primary

Addresses

Primary practice location

4500 Mercantile Plaza Dr Ste 300
Fort Worth, TX 76137-4206

Mailing address

10412 China Spring Road Ste F
PMB 1012
Waco, TX 76708
Phone (737) 392-2223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240112000598 TX Practitioner - Mental Health Counselor 6901264704 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
81994TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Virtual Care CurrentSince Feb 1, 2024 Accepting new patients
MCCD FL Psychiatry Services PA CurrentSince Aug 18, 2025 Accepting new patients
Texas Health Virtual Care Current Accepting new patients

Locations

9250 Amberton Pkwy
Dallas, TX 75243
Phone (214) 860-6300

3223 S Loop 289
Ste 600
Lubbock, TX 79423
Phone (866) 327-5040

240 N Miller Rd
Mansfield, TX 76063
Phone (214) 432-8322

1400 N Coit Rd
Ste 302
McKinney, TX 75071
Phone (214) 945-3640

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1623369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1740858315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10412 CHINA SPRING ROAD STE F",
            "address_2": "PMB 1012",
            "city": "WACO",
            "state": "TX",
            "postal_code": "76708",
            "telephone_number": "737-392-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 MERCANTILE PLAZA DR STE 300",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761374206",
            "telephone_number": "737-392-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEM",
        "first_name": "SUSAN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-11",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "81994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.