Juan Moises Bautista, LPC A

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

100806 Issued in TX

Practice address

711 Pennsylvania Ave
Fort Worth, TX 76104-2222

Phone

(903) 957-0082

Fax

(903) 957-0351

NPI assigned

Feb 3, 2026

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• DFW Physicians Medical Associates LLC

  • Internal Medicine Physician
  • Sherman, TX
  • NPI 1376014076

  Mental Health

  Medicare reassignment NPD
• Alain Z Tocatjian MD PA

  • Internal Medicine Physician
  • Sherman, TX
  • NPI 1356698500
  NPD (past)

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

{
    "created_epoch": "1770076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1750232195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 N HIGHLAND AVE # 260",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750927377",
            "telephone_number": "903-957-0082",
            "fax_number": "903-957-0351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 PENNSYLVANIA AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042222",
            "telephone_number": "903-957-0082",
            "fax_number": "903-957-0351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUTISTA",
        "first_name": "JUAN",
        "middle_name": "MOISES",
        "credential": "LPC A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-02-03",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "100806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Ann Bauman, PT, DPT
• Joane Baumer, M.D.
• Jeff Baures, D.C.
• Evangelina Baustista
• Hanna Bautista, RBT
• Sierra Martha Wilson Bautista
• Egle Bavry, MD
• Gurpreet S Baweja, MD
• Baxmathias Ionm LLC
• Baxter Hearing Specialists, L.L.C.

• Mental Health Counselor in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.