Active NPI
Heidi R Tournoux-Hanshaw, LPC, ATR
- Professional Counselor
- Fort Worth, TX
National Provider Identifier
1912179151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 62358
- Practice address
- 1616 Park Place Ave
Fort Worth, TX 76110-1377 - Phone
- (817) 921-2401
- NPI assigned
- Mar 27, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 62358 | TX | Primary |
Addresses
Primary practice location
1616 Park Place Ave
Fort Worth, TX 76110-1377
Mailing address
1616 Park Place Ave
Fort Worth, TX 76110-1377
Phone (817) 921-2401
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62358 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Art Station | Professional | Current | Accepting new patients |
Locations
4812 Diaz Ave
Fort Worth, TX 76107
Phone (817) 921-2401
1616 Park Place Ave
Ft Worth, TX 76110
Phone (817) 921-2401
Organizations & group practices 1
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": "1206576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206576000000",
"number": "1912179151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1616 PARK PLACE AVE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761101377",
"telephone_number": "817-921-2401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1616 PARK PLACE AVE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761101377",
"telephone_number": "817-921-2401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOURNOUX-HANSHAW",
"first_name": "HEIDI",
"middle_name": "R",
"credential": "LPC, ATR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-27",
"last_updated": "2008-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "62358",
"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, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.