Active NPI
James Byron Roaten, MED LPC
- Counselor
- Ft Worth, TX
National Provider Identifier
1861521494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 2996
- Practice address
- 5608 Malvey Ave Ste 101
Ft Worth, TX 76107-5107 - Phone
- (817) 737-5599
- Fax
- (817) 737-5757
- NPI assigned
- Mar 2, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 2996 | TX | Primary |
Addresses
Primary practice location
5608 Malvey Ave Ste 101
Ft Worth, TX 76107-5107
Mailing address
5608 Malvey Ave Ste 101
Ft Worth, TX 76107-5107
Phone (817) 737-5599
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2996 | Other | TX | LPC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 8, 2024 through Oct 8, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2996 | TX | MD | Independent Medical Examiner Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728604800000",
"number": "1861521494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5608 MALVEY AVE STE 101",
"city": "FT WORTH",
"state": "TX",
"postal_code": "761075107",
"telephone_number": "817-737-5599",
"fax_number": "817-737-5757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5608 MALVEY AVE STE 101",
"city": "FT WORTH",
"state": "TX",
"postal_code": "761075107",
"telephone_number": "817-737-5599",
"fax_number": "817-737-5757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROATEN",
"first_name": "JAMES",
"middle_name": "BYRON",
"name_prefix": "Mr.",
"credential": "MED LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-02",
"last_updated": "2024-10-11",
"certification_date": "2024-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "2996",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LPC",
"identifier": "2996",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ft Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.