COUNTRY PLACE COUNSELING, PLLC (NPI# 1598085672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598085672 |
| Entity Type | Organization |
| Organization Name | COUNTRY PLACE COUNSELING, PLLC |
| Practice Address |
4255 Bryant Irvin Rd Suite 101 Fort Worth TX 76109-4233 |
| Practice Telephone | 8172284855 |
| Practice Fax Number | 8177359404 |
| Mailing Telephone | 8172284855 |
| Mailing Fax Number | 8177359404 |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2010-06-16 |
| Authorized Official Name | MRS. JANET L. DOUGLAS (OWNER/MEMBER MANAGER) |
| Authorized Official Telephone | 8172284855 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
30116 | TX | Behavioral Health & Social Service Providers |
| Street Address |
4255 BRYANT IRVIN RD SUITE 101 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76109-4233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366434359 | Richard Scott Mcdonald | Dentist | 4255 Bryant Irvin Rd, Ste 111, Fort Worth, TX 76109-4233 | 2005-08-17 |
| 1487215737 | Clearfork Academy | Clinic/Center | 4255 Bryant Irvin Rd, Fort Worth, TX 76109-4233 | 2019-06-27 |
| 1578019535 | Acddc Enterprises Inc | Chiropractor | 4255 Bryant Irvin Rd, 101, Fort Worth, TX 76109-4233 | 2016-08-30 |
| 1417305731 | Margaret A. Hernandez | Reflexologist | 4255 Bryant Irvin Rd, Suite 108, Fort Worth, TX 76109-4233 | 2016-05-26 |
| 1073973723 | Manuel Aranguren | Massage Therapist | 4255 Bryant Irvin Rd, Suite 108, Fort Worth, TX 76109-4233 | 2016-02-23 |
| 1003186495 | Country Day Dental | Clinic/Center | 4255 Bryant Irvin Rd, Suite 111, Fort Worth, TX 76109-4233 | 2012-01-03 |
| 1730473984 | Suzanne Kay Melton | Counselor | 4255 Bryant Irvin Rd, #101, Fort Worth, TX 76109-4233 | 2011-06-06 |
| 1992016372 | Jcf Counseling Services, Pllc | Counselor | 4255 Bryant Irvin Rd, Suite 101, Fort Worth, TX 76109-4233 | 2010-06-30 |
| 1619291697 | Athena Marie Payne | Chiropractor | 4255 Bryant Irvin Rd, Suite 108, Fort Worth, TX 76109-4233 | 2010-03-20 |
| 1336471598 | Laurie Dy'ona Cedeno | Chiropractor | 4255 Bryant Irvin Rd, Ste 108, Fort Worth, TX 76109-4233 | 2010-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881156164 | Elizabeth Laborde Dds Pllc | Clinic/Center | 5656 Edwards Ranch Rd, Fort Worth, TX 76109 | 2019-04-04 |
| 1992273965 | Debra Cooper Lantz | Occupational Therapist | 4252 Bryant Irvin Road, Fort Worth, TX 76109 | 2018-11-08 |
| 1417434119 | Dermatology Specialists of Fort Worth Pllc | Dermatology | 6100 Southwest Blvd., Suite 100, Fort Worth, TX 76109 | 2018-07-25 |
| 1417446709 | Eating Recovery Center of Texas, LLC | Clinic/Center | 4200 S. Hulen Street, Suite #436, Ft. Worth, TX 76109 | 2018-05-02 |
| 1245751742 | Marissa Izabel San Miguel | Optometrist | 5912 Convair Dr Ste 208, Fort Worth, TX 76109 | 2017-07-05 |
| 1174910111 | Parkway Dental Professionals | Preferred Provider Organization | 4200 Bryant Irvin Rd. Ste. 101, Fort Worth, TX 76109 | 2015-04-16 |
| 1831583095 | Deborah K Lehmann, M.d. | Clinic/Center | 6420 Southwest Blvd., #128, Fort Worth, TX 76109 | 2015-03-26 |
| 1184036428 | Ft Worth Ranch Assist, LLC | Neurological Surgery | 3516 Ranch View Terrace, Fort Worth, TX 76109 | 2014-05-21 |
| 1821435538 | Metx LLC | Hearing Instrument Specialist | 4618 Sw Loop 820, Fort Worth, TX 76109 | 2013-06-04 |
| 1356608087 | Virginia Flores | Social Worker | 4208 Ranier Ct, Fort Worth, TX 76109 | 2012-04-19 |
| Find all providers in zip 76109 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410756 | Cowtown Counseling Pllc | Social Worker | 3270 Marys Ln, Fort Worth, TX 76116-4328 | 2020-08-31 |
| 1437762770 | Brandi Lashay Rhoden | Social Worker | 1720 Birds Eye Rd, Fort Worth, TX 76177-7548 | 2020-08-26 |
| 1063023067 | Brianna Snow | Social Worker | 2900 Race St Apt 156, Fort Worth, TX 76111-4170 | 2020-08-12 |
| 1871118745 | Raven Temeka Brown-mckinney | Social Worker | 7609 Bancroft Cir, Fort Worth, TX 76120-2491 | 2020-06-16 |
| 1356965123 | Courtney Shipp | Social Worker | 9211 Dale Lane Ct Apt 248, Fort Worth, TX 76108-2655 | 2020-06-08 |
| 1457974966 | Roberta Christine Mcknight-dupas | Social Worker | 6908 Greenlee St, Fort Worth, TX 76112-5602 | 2020-05-19 |
| 1336777010 | Renese Ann Super | Social Worker | 12333 Red Birch Ln, Fort Worth, TX 76244-4597 | 2020-03-30 |
| 1194358499 | Karen Brooks | Social Worker | 8551 Boat Club Rd Ste 115, Fort Worth, TX 76179-3674 | 2020-02-15 |
| 1851922728 | Melissa Dawn Monteiro | Social Worker | 1307 8th Ave Ste 301, Fort Worth, TX 76104-4140 | 2020-01-30 |
| 1417588369 | Ann Keith | Social Worker | 225 Casa Blanca Ave, Fort Worth, TX 76107-7720 | 2020-01-29 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76109 |
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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.