Active NPI
Patience Ediale
- Professional Counselor
- Fort Worth, TX
National Provider Identifier
1831645746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 70619
- Practice address
- 3840 Hulen St
Fort Worth, TX 76107-7277 - Phone
- (817) 335-3022
- NPI assigned
- Aug 31, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 70619 | TX | Primary |
Addresses
Primary practice location
3840 Hulen St
Fort Worth, TX 76107-7277
Mailing address
PO Box 2603
Fort Worth, TX 76113-2603
Phone (817) 569-4300
Other practice location 1
8625 King George Dr Ste 111
Dallas, TX 75235-2240
Phone (817) 465-4657
Other names 1
- Miss Patience Edebhor Ebea
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 70619 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| My Health My Resources of Tarrant County | Current | Accepting new patients |
Locations
3840 Hulen St
Ft Worth, TX 76107
Phone (817) 569-4395
Organizations & group practices 1
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.
-
- Psychiatry Physician
- Fort Worth, TX
- NPI 1952423782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746489600000",
"number": "1831645746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2603",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761132603",
"telephone_number": "817-569-4300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3840 HULEN ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761077277",
"telephone_number": "817-335-3022"
}
],
"practiceLocations": [
{
"address_1": "8625 King George Dr Ste 111",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752352240",
"country_code": "US",
"telephone_number": "817-465-4657",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EDIALE",
"first_name": "PATIENCE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-31",
"last_updated": "2025-05-06",
"certification_date": "2025-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "70619",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PATIENCE",
"last_name": "EBEA",
"middle_name": "EDEBHOR",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.