Active NPI
Elaine F Garrison, MS, LPC
- Professional Counselor
- Fort Worth, TX
National Provider Identifier
1992441646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 69635
- Practice address
- 550 Bailey Ave Ste 235
Fort Worth, TX 76107-2100 - Phone
- (817) 304-7549
- NPI assigned
- May 6, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 | 69635 | TX | Primary |
Addresses
Primary practice location
550 Bailey Ave Ste 235
Fort Worth, TX 76107-2100
Mailing address
6717 Meadows West Dr S
Fort Worth, TX 76132-1103
Phone (817) 996-8995
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 4, 2024 through Oct 4, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 69635 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651795200000",
"number": "1992441646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6717 MEADOWS WEST DR S",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761321103",
"telephone_number": "817-996-8995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 BAILEY AVE STE 235",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761072100",
"telephone_number": "817-304-7549"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARRISON",
"first_name": "ELAINE",
"middle_name": "F",
"name_prefix": "Mrs.",
"credential": "MS, LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-05-06",
"last_updated": "2022-05-06",
"certification_date": "2022-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "69635",
"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 May 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.