Individual provider Active NPI

Christi L McDonald, LPC

  • Professional Counselor
  • Fort Worth, TX
National Provider Identifier
1891269023
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
74474 Issued in TX
Practice address
910 Collier St Ste 225
Fort Worth, TX 76102-3584
Phone
(817) 602-2143
NPI assigned
Jan 22, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 74474 TX Primary

Addresses

Primary practice location

910 Collier St Ste 225
Fort Worth, TX 76102-3584

Mailing address

910 Collier St Ste 225
Fort Worth, TX 76102-3584
Phone (817) 602-2143

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240605002492 TX Practitioner - Mental Health Counselor 3678015658 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

910 Collier St
Fort Worth, TX 76102-3584
Phone (817) 602-2143

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
74474TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Cmac Counseling, PLLC Single Specialty CurrentSince Aug 28, 2024 Accepting new patients
Sondermind Provider Network LLC Professional CurrentSince May 30, 2024 Accepting new patients

Locations

2021 Guadalupe St
Ste 260
Austin, TX 78705
Phone (202) 932-9958

910 Collier St
Ste 225
Fort Worth, TX 76102
Phone (817) 602-2143

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1548115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1891269023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 COLLIER ST STE 225",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761023584",
            "telephone_number": "817-602-2143",
            "fax_number": "817-624-7054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 COLLIER ST STE 225",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761023584",
            "telephone_number": "817-602-2143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "CHRISTI",
        "middle_name": "L",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-22",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "74474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.