Unknown Individual – Mental Health Counselor, NPI 1306864566

Unknown Individual is a healthcare provider. based in Fort worth, Texas. specializing in Mental Health Counselor. They hold a License No. 11446 (TX). The NPI Number for Unknown Individual is 1306864566

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1306864566
Phone
(817) 877-3707
Address
3212 COLLINSWORTH ST
Deactivation Date
30 August 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Loading map...

Provider Addresses for Unknown Individual

  • 3212, Collinsworth Street, Fort Worth, Tarrant County, Texas, 76129, United States

    FORT WORTH, TX 761076580

    Phone: (817) 877-3707

    Fax: (817) 810-9585

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 76107)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1306864566 for Unknown Individual, then check state licensing separately.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Fort Worth, Texas in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

Similar Providers

MRS. GINGER RHEA DICKSON (L.P.C.)

Mental Health Counselor
6245, Locke Avenue, Fort Worth, Tarrant County, Texas, 76116, United States
NPI: 1154329639

MR. JOHN HOWELL LOGGINS (LPC)

Mental Health Counselor
4700, Bryant Irvin Court, Fort Worth, Tarrant County, Texas, 76116, United States
NPI: 1104810035

ROBIN BRITT (MA, LPC)

Professional Counselor
Compass Roofing and Construction, 6040, Camp Bowie Boulevard, Fort Worth, Tarrant County, Texas, 76116, United States
NPI: 1144208018

MR. BARNEY HISANAGA (LCSW)

Mental Health Counselor
2928, West 5th Street, Fort Worth, Tarrant County, Texas, 76107, United States
NPI: 1982662698

The Art Station

Mental Health Counselor
4812 Diaz Ave
NPI: 1578511895

ROBERT JOSEPH SR. PITRE (LMSW-ACP)

Mental Health Counselor
4300, Cumberland Road North, Ridglea Hills, Fort Worth, Tarrant County, Texas, 76116, United States
NPI: 1881644664

Mental Health Outreach Services

Mental Health Counselor
1725, Vinewood Street, Fort Worth, Tarrant County, Texas, 76112, United States
NPI: 1861449910

MR. MARVIN S. MATHEWS (LMFT)

Mental Health Counselor
1506, Pennsylvania Avenue, Fort Worth, Tarrant County, Texas, 76104, United States
NPI: 1619900933