Inner City Community Services of Tarrant County

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

INNER CITY COMMUNITY SERVICES OF TARRANT COUNTY

Practice address

4925 Rickee Dr
Fort Worth, TX 76115-3651

Phone

(817) 607-8184

Fax

(208) 888-2476

NPI assigned

Dec 7, 2010

Last updated

Dec 7, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Ruth C Greene

Title

Director

Phone

(817) 607-8184

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1291680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291680000000",
    "number": "1871896217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4925 RICKEE DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761153651",
            "telephone_number": "817-607-8184",
            "fax_number": "208-888-2476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4925 RICKEE DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761153651",
            "telephone_number": "817-607-8184",
            "fax_number": "208-888-2476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER CITY COMMUNITY SERVICES OF TARRANT COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-07",
        "last_updated": "2010-12-07",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "817-607-8184",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2010; 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.