KELLIE A MCLARTY (NPI# 1336516699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336516699 |
| Entity Type | Individual |
| Full Name | KELLIE A MCLARTY |
| Credential | LPC |
| Practice Address |
4200 S Hulen St Fort Worth TX 76109-4914 |
| Mailing Address |
4200 S Hulen St Ste 318 Fort Worth TX 76109-4910 |
| Practice Telephone | 8172966053 |
| Mailing Telephone | 8172966053 |
| Enumeration Date | 2015-08-21 |
| Last Update Date | 2015-08-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 19717 | TX | Behavioral Health & Social Service Providers |
| Street Address |
4200 S HULEN ST |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76109-4914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962483362 | David Allen Jenkins | Social Worker | 4200 S Hulen St, Suite 674, Fort Worth, TX 76109-4907 | 2005-11-11 |
| 1164888087 | Curtis Nielsen | Nurse Anesthetist, Certified Registered | 4200 S Hulen St, Suite 425, Fort Worth, TX 76109-4914 | 2016-01-07 |
| 1265817043 | Jane Phillips, Phd, Lcsw & Associates, Pllc | Social Worker | 4200 S Hulen St, Suite 676, Fort Worth, TX 76109-4914 | 2015-07-22 |
| 1932595444 | Kellie Mclarty Lpc | Counselor | 4200 S Hulen St, Suite 318, Fort Worth, TX 76109-4914 | 2015-04-10 |
| 1588053037 | Brittnee Freund | Nurse Anesthetist, Certified Registered | 4200 S Hulen St, 425, Fort Worth, TX 76109 | 2015-01-21 |
| 1841688140 | Geoffrey Simpson | Registered Nurse | 4200 S Hulen St, Suite 425, Fort Worth, TX 76109 | 2015-01-08 |
| 1124201827 | Apex Anesthesia Consultants, Pllc | Anesthesiology | 4200 S Hulen St, Suite 425, Fort Worth, TX 76109-4914 | 2007-12-17 |
| 1629199575 | Carla Frances Garber | Counselor | 4200 S Hulen St, Suite 318, Fort Worth, TX 76109-4914 | 2007-04-02 |
| 1770649394 | Joy S Allen | Social Worker | 4200 S Hulen St, Ste 654, Fort Worth, TX 76109-4914 | 2006-12-28 |
| 1720165855 | Judith L Lester | Counselor | 4200 S Hulen St, Suite 686, Fort Worth, TX 76109-4914 | 2006-11-01 |
| 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 | 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 | 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.