NPIMap

Organization Active NPI

Go Fearless, PLLC

  • Professional Counselor
  • Dallas, TX
National Provider Identifier
1831781707
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
GO FEARLESS, PLLC
Practice address
10935 Estate LN
Dallas, TX 75238-2316
Phone
(972) 652-0703
NPI assigned
Feb 10, 2021
Last updated
Feb 10, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2021

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

Authorized official

Name
Jentrelle MooreNPI 1538721808
Title
Owner
Phone
(214) 649-2141

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

10935 Estate LN
Dallas, TX 75238-2316

Mailing address

318 Buhler Dr
Garland, TX 75040-7807

National Provider Directory

National Provider Directory

Locations

10935 Estate Ln
Dallas, TX 75238
Phone (972) 652-0703

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": "1612915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612915200000",
    "number": "1831781707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 BUHLER DR",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750407807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10935 ESTATE LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752382316",
            "telephone_number": "972-652-0703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GO FEARLESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-10",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JENTRELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-649-2141"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; 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.