JERRY J. MUNGADZE (PHD., LPC) – Mental Health Counselor, NPI 1356490080

JERRY J. MUNGADZE (PHD., LPC) is a healthcare provider. based in Bedford, Texas. specializing in Mental Health Counselor. They hold the professional credentials PHD., LPC. They hold a License No. 10315 (TX). The NPI Number for JERRY J. MUNGADZE (PHD., LPC) is 1356490080

Main info

Male
Sole Proprietor
Name
JERRY J. MUNGADZE (PHD., LPC)
NPI
1356490080
Phone
(817) 354-1389
Address
2040 BEDFORD RD STE 200
Enumeration Date
10 January 2007
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for JERRY J. MUNGADZE (PHD., LPC)

  • 2040 BEDFORD RD STE 200

    BEDFORD, TX 760215871

    Phone: (817) 354-1389

    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)

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Medicare Enrollment & Revalidation

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Medicare Utilization (FFS)

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

Insurance plans in this area (ZIP 76021)

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Frequently asked questions

What identifier follows JERRY J. MUNGADZE (PHD., LPC) across health systems?
The NPI 1356490080 uniquely identifies JERRY J. MUNGADZE (PHD., LPC) in U.S. healthcare data.
Is JERRY J. MUNGADZE (PHD., LPC)'s NPI status active today?
Active status means JERRY J. MUNGADZE (PHD., LPC)'s NPI record is not deactivated in the public file.
Which specialty label fits JERRY J. MUNGADZE (PHD., LPC)?
NPPES ties JERRY J. MUNGADZE (PHD., LPC) to Mental Health Counselor in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to JERRY J. MUNGADZE (PHD., LPC)?
JERRY J. MUNGADZE (PHD., LPC) shows a connection to Bedford, Texas in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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