Cole Modlin, MA

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

68664 Issued in TX

Practice address

609 Cheek Sparger Rd Ste 112
Colleyville, TX 76034-3856

Phone

(682) 999-8186

Fax

(682) 747-6887

NPI assigned

Jun 27, 2014

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Modlin Development Resources PLLC

  • Professional Counselor
  • Fort Worth, TX
  • NPI 1588076764
  NPD (past) Authorized official
• Resolve Mental Health

  • Counselor
  • Colleyville, TX
  • NPI 1942854575
  NPD

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

{
    "created_epoch": "1403827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588636800000",
    "number": "1780099705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7950 CRYSTAL CREEK CIR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761375624",
            "telephone_number": "682-999-8186",
            "fax_number": "682-747-6887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 CHEEK SPARGER RD STE 112",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760343856",
            "telephone_number": "682-999-8186",
            "fax_number": "682-747-6887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODLIN",
        "first_name": "COLE",
        "name_prefix": "Mr.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-27",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "68664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Louis C. Miller, DDS
• Jon L Mills, DC
• Haley Milner
• Christopher Missimo, MA, NCC, LPC-I
• Kathleen Darnell Mitchell, RPH
• Rashad Mohamed Riazuddin, MD
• Denisa Mohr, LPC
• Arturo J Molina, LPC
• Madeleine Moon
• Moore Abundant Life Chiropractic LLC

• Professional Counselor in Colleyville, TX
• Providers in Colleyville, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2020; 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.