Active NPI
Graceful Change Counseling Services
- Clinical Social Worker
- Fort Worth, TX
National Provider Identifier
1861287807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- GRACEFUL CHANGE COUNSELING SERVICES
- Doing business as
- GRACEFUL CHANGE COUNSELING CENTER
- Practice address
- 5049 Edwards Ranch Rd FL 4
Fort Worth, TX 76109-4213 - Phone
- (562) 270-5259
- NPI assigned
- Apr 10, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kalisha Crone
- Title
- Owner
- Phone
- (562) 270-5259
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
5049 Edwards Ranch Rd FL 4
Fort Worth, TX 76109-4213
Mailing address
509 Kelley CT
Fort Worth, TX 76120-1701
Phone (805) 415-7368
Other names 1
- GRACEFUL CHANGE COUNSELING CENTER
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Orange, CA
- NPI 1235769803
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744243200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1744243200000",
"number": "1861287807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "509 KELLEY CT",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761201701",
"telephone_number": "805-415-7368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5049 EDWARDS RANCH RD FL 4",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761094213",
"telephone_number": "562-270-5259"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRACEFUL CHANGE COUNSELING SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-10",
"last_updated": "2025-04-10",
"certification_date": "2025-04-10",
"status": "A",
"authorized_official_last_name": "CRONE",
"authorized_official_first_name": "KALISHA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "562-270-5259"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "GRACEFUL CHANGE COUNSELING CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}
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 10, 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.