Organization Active NPI

Covenant Kids Inc

  • Professional Counselor
  • Fort Worth, TX
National Provider Identifier
1861606113
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
59857 Issued in TX
Legal business name
COVENANT KIDS INC
Practice address
201 N Rupert St Ste 133
Fort Worth, TX 76107-1465
Phone
(817) 516-9100
Fax
(817) 516-9102
NPI assigned
May 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Authorized official

Name
Lorie Gibson
Title
Executive Administrator
Phone
(817) 516-9100

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 59857 TX Primary
Clinical Child & Adolescent PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC2200X 32661 TX
Case Management Agency 251B00000X

Addresses

Primary practice location

201 N Rupert St Ste 133
Fort Worth, TX 76107-1465

Mailing address

PO Box 173038
Arlington, TX 76003-3038
Phone (817) 516-9100

Other identifiers 1

IdentifierTypeStateIssuer
164283701MedicaidTX

Other names 1

  • CK Family Services Doing business as

National Provider Directory

National Provider Directory

Locations

201 N Rupert St
Ste 133
Fort Worth, TX 76107
Phone (817) 516-9100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778630400000",
    "number": "1861606113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 173038",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760033038",
            "telephone_number": "817-516-9100",
            "fax_number": "817-516-9102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N RUPERT ST STE 133",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761071465",
            "telephone_number": "817-516-9100",
            "fax_number": "817-516-9102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT KIDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "LORIE",
        "authorized_official_title_or_position": "EXECUTIVE ADMINISTRATOR",
        "authorized_official_telephone_number": "817-516-9100"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "59857",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "TX",
            "license": "32661",
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164283701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CK Family 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 May 13, 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.

Verify at the official NPI Registry.