NPIMap

Organization Active NPI

Stonegate Behavioral Health

  • Professional Counselor
  • Keller, TX
National Provider Identifier
1790982783
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
18235 Issued in TX
Legal business name
STONEGATE BEHAVIORAL HEALTH
Practice address
4686 Bristol Trace TRL
Keller, TX 76248-6947
Phone
(817) 300-1590
Fax
(817) 886-0504
NPI assigned
Jul 2, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Joe Aaron Eastham, LMFT, LPCNPI 1043332836
Title
Executive Director
Phone
(817) 300-1590

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 18235 TX Primary
Marriage & Family Therapist 106H00000X 5069 TX

Addresses

Primary practice location

4686 Bristol Trace TRL
Keller, TX 76248-6947

Mailing address

PO Box 60722
Fort Worth, TX 76115-6722
Phone (817) 300-1590

National Provider Directory

National Provider Directory
Tax ID family
Andre Punch4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1790982783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60722",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761156722",
            "telephone_number": "817-300-1590",
            "fax_number": "817-886-0504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4686 BRISTOL TRACE TRL",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762486947",
            "telephone_number": "817-300-1590",
            "fax_number": "817-886-0504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONEGATE BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "EASTHAM",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "AARON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "817-300-1590",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMFT, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "18235",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "5069",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keller, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.