Individual provider Active NPI

John Smith, MMFT

  • Marriage & Family Therapist
  • Fort Worth, TX
National Provider Identifier
1932097904
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
204745 Issued in TX
Practice address
4917 Golden Triangle Blvd Ste 441
Fort Worth, TX 76244-4673
Phone
(817) 201-2444
NPI assigned
Jun 26, 2025
Last updated
Jun 26, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 204745 TX Primary

Addresses

Primary practice location

4917 Golden Triangle Blvd Ste 441
Fort Worth, TX 76244-4673

Mailing address

5845 Shadydell Dr
Fort Worth, TX 76135-2082
Phone (936) 499-6334

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
I20251019000025 TX Practitioner - Marriage and Family Therapist 9436647880 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Geode Health of Texas, PLLCGroup PAC ID 2062896897, 158 clinicians

Practice addresses (Care Compare)

1701 River Run
Fort Worth, TX 76107-6579
Phone (972) 221-7900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
204745TXMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Geode Health of Texas, PLLC CurrentSince Oct 6, 2025 Accepting new patients
Hope Harbor Counseling & Family Therapy, PLLC CurrentSince Jun 29, 2025 Accepting new patients
BSW Geode Clinicians of Texas PLLC CurrentSince Jan 1, 2026 Accepting new patients
Adebogun M.D., P. a. PastSince Jan 1, 2026 Accepting new patients

Locations

1701 River Run
Fort Worth, TX 76107
Phone (254) 768-3397

4917 Golden Triangle Blvd
Ste 441
Fort Worth, TX 76244
Phone (817) 201-2444

1701 River Run
Ste 1118
Fort Worth, TX 76107
Phone (817) 865-3954

768 Bandit Trl
Keller, TX 76248
Phone (817) 865-3954

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1750896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1932097904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5845 SHADYDELL DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761352082",
            "telephone_number": "936-499-6334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4917 GOLDEN TRIANGLE BLVD STE 441",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762444673",
            "telephone_number": "817-201-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JOHN",
        "credential": "MMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-26",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "204745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.