MR. ALEX GUEVARA III (NPI# 1255986832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255986832 |
| Entity Type | Individual |
| Full Name | MR. ALEX GUEVARA III |
| Credential | LPC |
| Practice Address |
1217 Grand Ave Fort Worth TX 76164-9041 |
| Practice Telephone | 8176180513 |
| Practice Fax Number | 8175490095 |
| Mailing Telephone | 8176180513 |
| Mailing Fax Number | 8175490095 |
| Enumeration Date | 2019-08-09 |
| Last Update Date | 2019-08-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 75016 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | LPC CONTROL NUMBER | 348806 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699768481 | Alex Guevara Jr. | Family Medicine | 1217 Grand Ave, Fort Worth, TX 76106-9041 | 2005-08-26 |
| Street Address |
1217 GRAND AVE |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76164-9041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699768481 | Alex Guevara Jr. | Family Medicine | 1217 Grand Ave, Fort Worth, TX 76106-9041 | 2005-08-26 |
| 1346715315 | Brenda Ochieng | Nurse Practitioner | 1217 Grand Ave, Fort Worth, TX 76164-9041 | 2018-10-05 |
| 1851769095 | Linda Ochieng | Physician Assistant | 1217 Grand Ave, Fort Worth, TX 76164-9041 | 2015-09-03 |
| 1033311857 | Rockwood Medical Clinic, P.a. | Family Medicine | 1217 Grand Ave, Fort Worth, TX 76106-9041 | 2007-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225648561 | Karissa Brianna Rodriguez | Registered Nurse | 2215 Pearl Avenue, Fort Worth, TX 76164 | 2020-08-02 |
| 1972609501 | Patricia Gail Woolford | Dentist | 612 Nw 25th St, Ft Worth, TX 76164 | 2006-09-14 |
| 1215428511 | Veronica Salaices-fraire | Physician Assistant | 229 Ne 28th St, Fort Worth, TX 76164 | 2018-05-22 |
| 1831134667 | Rose S Simonian | Obstetrics & Gynecology | 2200 Ephriham Ave, Fort Worth, TX 76164-6642 | 2006-06-17 |
| 1316457278 | Jamie Renee Shields | Nurse Practitioner | 2200 Ephriham Ave, Fort Worth, TX 76164-6642 | 2017-10-05 |
| 1457448482 | Glory Lynn Windmiller | Dentist | 1966 Ephriham Ave, Fort Worth, TX 76164-6670 | 2006-10-10 |
| 1881611382 | Melissa Kurkjian Greer | Internal Medicine | 1950 Ephriham Ave, Fort Worth, TX 76164-6670 | 2006-07-17 |
| 1053367763 | Usrc Tarrant Lp | Clinic/Center | 1978 Ephriham Ave, Fort Worth, TX 76164-6670 | 2006-05-25 |
| 1356898092 | Yaimi Jaramillo-ortiz | Physician Assistant | 1950 Ephriham Ave, Fort Worth, TX 76164-6670 | 2016-09-09 |
| 1700044971 | Atul M Masters | Dentist | 1612 Nw 28th St, Fort Worth, TX 76164-6843 | 2008-05-23 |
| Find all providers in zip 76164 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730794140 | Cassandra Lamptey | Counselor | 2917 Buckskin Run, Fort Worth, TX 76116-9601 | 2020-09-11 |
| 1144851668 | Estela Rodriguez | Counselor | 5441 Fursman Ave, Fort Worth, TX 76114-4507 | 2020-02-03 |
| 1679119390 | Carlos Mendez | Counselor | 4801 Brentwood Stair Rd, Fort Worth, TX 76103-1729 | 2019-11-19 |
| 1912555012 | Mylie Greenbach | Counselor | 7009 Brierhollow Ct, Fort Worth, TX 76132-7110 | 2019-09-01 |
| 1841782075 | Roy Cecrle | Counselor | 3301 West Fwy Ste 105, Fort Worth, TX 76107-5709 | 2018-06-04 |
| 1245770122 | Madison Elise Webb | Counselor | 6131 Avery Dr Apt 8202, Fort Worth, TX 76132-5325 | 2017-02-27 |
| 1417409780 | Catherine A Presley | Counselor | 8106 Melrose St E, Fort Worth, TX 76108-2414 | 2016-11-02 |
| 1275993982 | Dianna Clayton | Counselor | 5751 Park Vista Cir Ste 101, Fort Worth, TX 76244-5607 | 2016-02-24 |
| 1578943676 | Lori Fangue | Counselor | 4316 Latigo Cir, Fort Worth, TX 76244-8153 | 2015-06-03 |
| 1346634086 | John Mitchell Gray | Counselor | 3216 E 1st St, Fort Worth, TX 76111-3831 | 2015-03-19 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76164 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.