NPIMap

Organization Active NPI

Lahue Counseling Services

  • Clinical Social Worker
  • Fort Worth, TX
National Provider Identifier
1902310170
Registry record updated Mar 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LAHUE COUNSELING SERVICES
Practice address
3001 W 5TH St Ste 100
Fort Worth, TX 76107-8901
Phone
(682) 472-7771
Fax
(682) 205-2971
NPI assigned
Nov 27, 2017
Last updated
Mar 27, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2018

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

Authorized official

Name
Robert Morgan Peacock, LCSWNPI 1750823092
Title
Owner
Phone
(682) 472-7771

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

3001 W 5TH St Ste 100
Fort Worth, TX 76107-8901

Mailing address

5601 Texas St
Joshua, TX 76058-4097
Phone (682) 472-7771

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180308000635 TX Part B Supplier - Clinic/Group Practice 4688935646 Receives reassigned benefits from 7 practitioners
Practice locations: Fort Worth, TX

National Provider Directory

National Provider Directory

Locations

3001 W 5th St
Ste 100
Fort Worth, TX 76107
Phone (682) 472-7771

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1511740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522108800000",
    "number": "1902310170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 TEXAS ST",
            "city": "JOSHUA",
            "state": "TX",
            "postal_code": "760584097",
            "telephone_number": "682-472-7771",
            "fax_number": "682-205-2971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 W 5TH ST STE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761078901",
            "telephone_number": "682-472-7771",
            "fax_number": "682-205-2971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAHUE COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-27",
        "last_updated": "2018-03-27",
        "status": "A",
        "authorized_official_last_name": "PEACOCK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "MORGAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "682-472-7771",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.