Neuro-Forge Therapy – Mental Health Counselor

Key facts

NPI: 1992506729
Entity type: Organization (NPI type 2)
Primary specialty: Mental Health Counselor 101YM0800X
Legal business name: NEURO-FORGE THERAPY
Practice address: 2417 Hobbs Rd Ste 102
Amarillo, TX 79109-1533
Phone: (806) 676-9315
Fax: (806) 318-3046
NPI assigned: Mar 19, 2025
Organization subpart: No

Authorized official

Name: Mrs. Melissa Lynn Preece, LCSW-S, LCDC NPI 1346789575
Title: Ceo
Phone: (806) 676-9315

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Melissa Preece, LPC Clinical Social Worker · Amarillo, TX · NPI 1346789575

Medicare reassignment NPD Authorized official TX
Sonja Glasco Clinical Social Worker · Somerville, TX · NPI 1497471700

Medicare reassignment NPD TX

Medicare participation

Medicare fee-for-service enrollment: Enrolled in TX

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20251215001150	TX	Part B Supplier - Clinic/Group Practice	9436643657	Receives reassigned benefits from 2 practitioners Practice locations: Amarillo, TX

National Provider Directory

Locations

2417 Hobbs Rd
Ste 102
Amarillo, TX 79109
Phone (806) 676-9315

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Addiction (Substance Use Disorder) Counselor Group: 193200000X MULTI-SPECIALTY GROUP	101YA0400X
Mental Health Counselor Group: 193200000X MULTI-SPECIALTY GROUP	101YM0800X			Yes

Addresses

Primary practice location

2417 Hobbs Rd Ste 102
Amarillo, TX 79109-1533

Mailing address

PO Box 3742
Amarillo, TX 79116-3742
Phone (806) 676-9315

Other providers in Amarillo, TX

All providers in Amarillo, TX · Mental Health Counselor in Texas

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 19, 2025. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.