JAY KIRKLYN SAWYERS – Professional Counselor, NPI 1174221618

JAY KIRKLYN SAWYERS is a healthcare provider. based in Fort worth, Texas. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. 69584 (TX). The NPI Number for JAY KIRKLYN SAWYERS is 1174221618

Main info

Male
Sole Proprietor
23 Years Of Experience
Accepts Medicare Assignment
Name
JAY KIRKLYN SAWYERS
NPI
1174221618
Phone
(903) 818-4480
Address
5025 KEATING ST
Enumeration Date
22 February 2023
Last Update Date
22 February 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8173819650
Graduation Year
2003 (23 years ago)
PAC ID
9234573692
Group Practice PAC ID
5698016301
Professional Enrollment ID
I20240214000980
Address ID
TX762446470FO9545XSTXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

3,949 MENTAL HEALTH COUNSELOR in TX

Provider Addresses for JAY KIRKLYN SAWYERS

  • 5025 KEATING ST

    FORT WORTH, TX 762446163

    Phone: (903) 818-4480

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-02-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240214000980IMental Health CounselorTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 76244)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5698016301View full group profile
NameSpecialtyState
Clinical Social WorkerTX
Pain Management, Psychiatry, Addiction MedicineTX
Mental Health CounselorTX
Clinical PsychologistTX
P S Y C H I A T R YOH

Reviews

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Frequently asked questions

What identifier follows JAY KIRKLYN SAWYERS across health systems?
The NPI 1174221618 uniquely identifies JAY KIRKLYN SAWYERS in U.S. healthcare data.
Should I treat JAY KIRKLYN SAWYERS as an active provider?
Patients and plans typically see JAY KIRKLYN SAWYERS as active in the national extract.
How should patients interpret JAY KIRKLYN SAWYERS's specialty?
The extract shows Professional Counselor for JAY KIRKLYN SAWYERS. Clinical services aligned with this taxonomy classification.
Is JAY KIRKLYN SAWYERS tied to Fort Worth, Texas?
If you are local to Fort Worth, Texas, JAY KIRKLYN SAWYERS may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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