Active NPI
Caledra Wortham
- Professional Counselor
- Fort Worth, TX
National Provider Identifier
1841131232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 96728
- Practice address
- 4900 Overton Ridge Blvd Ste 215
Fort Worth, TX 76132-1914 - Phone
- (682) 292-8338
- NPI assigned
- Apr 2, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 | 96728 | TX | Primary |
Addresses
Primary practice location
4900 Overton Ridge Blvd Ste 215
Fort Worth, TX 76132-1914
Mailing address
8608 Busch Gardens Dr
Fort Worth, TX 76123-1445
Phone (817) 448-3848
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 96728 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1775088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775088000000",
"number": "1841131232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8608 BUSCH GARDENS DR",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761231445",
"telephone_number": "817-448-3848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4900 OVERTON RIDGE BLVD STE 215",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761321914",
"telephone_number": "682-292-8338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WORTHAM",
"first_name": "CALEDRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-04-02",
"last_updated": "2026-04-02",
"certification_date": "2026-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "96728",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Apr 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.