Individual provider Active NPI

Myka Nicole Joles

  • Professional Counselor
  • Fort Worth, TX
National Provider Identifier
1912803800
Registry record updated Oct 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
104372 Issued in TX
Practice address
610 S Jennings Ave Ste C
Fort Worth, TX 76104-3209
Phone
(817) 754-0246
NPI assigned
Oct 16, 2026
Last updated
Oct 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 104372 TX Primary

Addresses

Primary practice location

610 S Jennings Ave Ste C
Fort Worth, TX 76104-3209

Mailing address

610 S Jennings Ave Ste C
Fort Worth, TX 76104-3209
Phone (817) 754-0246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1792108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792108800000",
    "number": "1912803800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 S JENNINGS AVE STE C",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043209",
            "telephone_number": "817-754-0246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 S JENNINGS AVE STE C",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043209",
            "telephone_number": "817-754-0246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOLES",
        "first_name": "MYKA",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-16",
        "last_updated": "2026-10-16",
        "certification_date": "2026-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "104372",
            "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 Oct 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.