Individual provider Active NPI

Edward Holt Towns Jr., MA, LPC, LSOTP

  • Professional Counselor
  • Fort Worth, TX
National Provider Identifier
1992172753
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
71622 Issued in TX
Practice address
1751 River Run Ste 200
Fort Worth, TX 76107-6670
Phone
(512) 709-5863
NPI assigned
Aug 27, 2015
Last updated
Nov 3, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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 71622 TX Primary

Addresses

Primary practice location

1751 River Run Ste 200
Fort Worth, TX 76107-6670

Mailing address

1751 River Run Ste 200
Fort Worth, TX 76107-6670
Phone (512) 975-9547

Other practice location 1

4805 Green Oaks Dr
River Oaks, TX 76114-3004
Phone (817) 624-1222

Other identifiers 1

IdentifierTypeStateIssuer
354474404MedicaidTX

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
I20260401000997 TX Practitioner - Mental Health Counselor 6406331008 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4805 Green Oaks Dr
River Oaks, TX 76114-3099

PO Box
Suite 10117
River Oaks, TX 76114

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
71622TXMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Starts Here Wellness Center Current Accepting new patients
New Horizon Counseling Center, LLC Professional CurrentSince Feb 24, 2026 Accepting new patients
Tristan's Legacy, PLLC Professional Current Accepting new patients

Locations

1601 E Lamar Blvd
Ste 108
Arlington, TX 76011
Phone (817) 522-1095

1751 River Run
Ste 200
Ft Worth, TX 76107
Phone (682) 235-9884

4805 Green Oaks Dr
River Oaks, TX 76114
Phone (817) 624-1222

Organizations & group practices 3

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": "1440633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1992172753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 RIVER RUN STE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761076670",
            "telephone_number": "512-975-9547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 RIVER RUN STE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761076670",
            "telephone_number": "512-709-5863"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4805 Green Oaks Dr",
            "address_purpose": "LOCATION",
            "city": "River Oaks",
            "state": "TX",
            "postal_code": "761143004",
            "country_code": "US",
            "telephone_number": "817-624-1222",
            "fax_number": "817-460-0286",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOWNS",
        "first_name": "EDWARD",
        "middle_name": "HOLT",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MA, LPC, LSOTP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-27",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "71622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "354474404",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.