NPIMap

Organization Active NPI

Mental Healtlh Outreach, PA

Doing business as Mental Health Outreach Services

  • Mental Health Counselor
  • Fort Worth, TX
National Provider Identifier
1861449910
Registry record updated Mar 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
13981 Issued in TX
Legal business name
MENTAL HEALTLH OUTREACH, PA
Doing business as
Mental Health Outreach Services
Practice address
1725 Vinewood St
Fort Worth, TX 76112-2959
Phone
(817) 531-8330
Fax
(817) 531-8309
NPI assigned
May 27, 2006
Last updated
Mar 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2008

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

Authorized official

Name
Mr. David H West, LCSWNPI 1902086812
Title
Owner/Executive Director
Phone
(817) 531-8330

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 13981 TX Primary

Addresses

Primary practice location

1725 Vinewood St
Fort Worth, TX 76112-2959

Mailing address

1725 Vinewood St
Fort Worth, TX 76112-2959
Phone (817) 531-8330

Other names 1

  • Mental Health Outreach Services Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205884800000",
    "number": "1861449910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 VINEWOOD ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761122959",
            "telephone_number": "817-531-8330",
            "fax_number": "817-531-8309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 VINEWOOD ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761122959",
            "telephone_number": "817-531-8330",
            "fax_number": "817-531-8309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTLH OUTREACH, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2008-03-19",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "817-531-8330",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "13981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mental Health Outreach Services",
            "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 Mar 19, 2008; 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.