Amanda Averbeck, M.S., LMFT-ASSOCIATE

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

203898

Practice address

4225 Shannon Dr
Fort Worth, TX 76116-8043

Phone

(940) 368-4967

NPI assigned

Jan 30, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1611964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611964800000",
    "number": "1871184085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4225 SHANNON DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761168043",
            "telephone_number": "940-368-4967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4225 SHANNON DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761168043",
            "telephone_number": "940-368-4967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVERBECK",
        "first_name": "AMANDA",
        "name_prefix": "Mrs.",
        "credential": "M.S., LMFT-ASSOCIATE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-30",
        "last_updated": "2021-01-30",
        "certification_date": "2021-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": "203898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alex Nelson Autry, D.O.
• Heather Lynn Autry, D.O.
• James Autry
• Amanda Avalos, APRN, CPNP-PC
• Ingrid Avent, LVN
• Aurora Marie Averill, DC
• Chyna Avery, COTA
• Devin Avery
• Jemini Avery, PSY.D.
• Lori E Avery, BS

• Mental Health Counselor in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2021; 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.