Gregory Noel Southworth, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

13856 Issued in TX

Practice address

422 E Lamar Blvd Ste 108
Arlington, TX 76011-3604

Phone

(817) 751-7802

NPI assigned

Feb 18, 2013

Last updated

Feb 20, 2025By the provider in NPPES

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Progressive Behavioral Health, PLLC

  dba LifeStance Health

  • Mental Health Counselor
  • Friendswood, TX
  • NPI 1659567238

  Professional

  NPD (past)
• PHC of Buffalo Grove Clinical Psychology

  dba Portrait Health Centers

  • Psychologist
  • Vernon Hills, IL
  • NPI 1235430612
  NPD (past)

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

{
    "created_epoch": "1361145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1831439546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 FRESHWOOD CT",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760176124",
            "telephone_number": "817-467-9323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 E LAMAR BLVD STE 108",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760113604",
            "telephone_number": "817-751-7802"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "908 Freshwood Ct",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760176124",
            "country_code": "US",
            "telephone_number": "817-467-9323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOUTHWORTH",
        "first_name": "GREGORY",
        "middle_name": "NOEL",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-02-18",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "13856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southwest LTC - Meadow View, LTD
• Southwest Natural Health Care, L.L.C.
• Southwest Ophthalmology Associates, PLLC
• Southwest Rehabilitation Center of Arlington, P.a.
• Southwind Services LLC
• Sovereignty Home Care Dallas LLC
• Tametha Sowe
• Spark Healing TX PLLC
• Sparks Therapy Services, PLLC
• Amy Sparks, M.S., CCC-SLP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.