Organization Active NPI

Neuro-Forge Therapy

  • Mental Health Counselor
  • Amarillo, TX
National Provider Identifier
1992506729
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 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
Last updated
Mar 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Authorized official

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

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251215001150 TX Part B Supplier - Clinic/Group Practice 9436643657 Receives reassigned benefits from 2 practitioners
Practice locations: Amarillo, TX

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1742342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742342400000",
    "number": "1992506729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3742",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791163742",
            "telephone_number": "806-676-9315",
            "fax_number": "806-318-3046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2417 HOBBS RD STE 102",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791091533",
            "telephone_number": "806-676-9315",
            "fax_number": "806-318-3046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURO-FORGE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-19",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A",
        "authorized_official_last_name": "PREECE",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "806-676-9315",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW-S, LCDC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare 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.