Active NPI
John Smith, MMFT
- Marriage & Family Therapist
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 204745
- 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, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 204745 | TX | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geode Health of Texas, PLLC | Current | Accepting new patients | |
| Hope Harbor Counseling & Family Therapy, PLLC | Current | Accepting new patients | |
| BSW Geode Clinicians of Texas PLLC | Current | Accepting new patients | |
| Adebogun M.D., P. a. | Past | 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.
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- NPI 1962125526
-
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- Flower Mound, TX
- NPI 1306273560
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.