DEPRESSION CONNECTION FOR RECOVERY (NPI# 1477909158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477909158 |
| Entity Type | Organization |
| Organization Name | DEPRESSION CONNECTION FOR RECOVERY |
| Other Organization Name | DEPRESSION CONNECTION TEAM |
| Practice Address |
3212 Collinsworth St Suite 3a Fort Worth TX 76107-6580 |
| Practice Telephone | 8178109599 |
| Mailing Telephone | 8178109599 |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2016-05-11 |
| Authorized Official Name | MR. THOMAS ALAN HIGGS (CERTIFIED PEER SUPPORT SPECIALIST) |
| Authorized Official Telephone | 8178109599 |
| Authorized Official Credential | C.P.S.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | TX | Agencies |
| Other Name | Type Code |
|---|---|
| depression connection team | Former Legal Business Name - Organization |
| Street Address |
3212 COLLINSWORTH ST SUITE 3A |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76107-6580 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518905132 | Margaret Lipham Blakely | Counselor | 3212 Collinsworth St, Suite 101, Fort Worth, TX 76107-6580 | 2006-06-04 |
| 1225450893 | Hannington Massage, LLC | Clinic/Center | 3212 Collinsworth St, Suite 14, Fort Worth, TX 76107-6580 | 2014-01-15 |
| 1366512329 | Josephine B. Burleson | Counselor | 3212 Collinsworth St, Ste 101, Fort Worth, TX 76107-6580 | 2006-11-08 |
| 1134207640 | Lisa Anne Haram-atkinson | Counselor | 3212 Collinsworth St, Suite 5, Fort Worth, TX 76107-6580 | 2006-11-01 |
| 1346254513 | Lorraine Simon Braden | Counselor | 3212 Collinsworth St, Suite 1, Fort Worth, TX 76107-6580 | 2006-07-27 |
| 1306864566 | James Henry Landers | Counselor | 3212 Collinsworth St, Fort Worth, TX 76107-6580 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629683602 | Renovo Wound and Hyperbarics Pllc | Emergency Medicine | 5668 Edwards Ranch Road, Suite 101, Fort Worth, TX 76107 | 2020-09-15 |
| 1669085437 | Ryan Bourgeois | Nurse Practitioner | 2917 Crocket Street, Fort Worth, TX 76107 | 2020-08-31 |
| 1053920546 | Christa Marie Widjaja | Optometrist | 1700 Montgomery St, Fort Worth, TX 76107 | 2020-07-30 |
| 1093351355 | Raymond Iannone | Pharmacist | 850 Montgomery St, Suite #310, Fort Worth, TX 76107 | 2019-11-21 |
| 1053963744 | Cumulus Injury Resolution, Inc. | Chiropractor | 4936 Byers Avenue, Fort Worth, TX 76107 | 2019-07-12 |
| 1770135576 | Shadia Osakwe | Physician Assistant | 855 Montgomery Street, Pediatric Clinic, Fort Worth, TX 76107 | 2019-07-11 |
| 1568945442 | Sachin P Patel | Physical Therapist | 4825 Wellesley St, Fort Worth, TX 76107 | 2018-09-07 |
| 1023594025 | Ftw Pharmacy Services Inc | Durable Medical Equipment & Medical Supplies | 2912 W 6th St Ste 150, Fort Worth, TX 76107 | 2018-07-13 |
| 1669974325 | Helen Williamson Elliott | Counselor | 1751 River Run #217, Fort Worth, TX 76107 | 2018-03-08 |
| 1487156931 | Pelvic Neuromonitoring Pllc | Electrodiagnostic Medicine | 111 Boland St #211, Ft Worth, TX 76107 | 2018-03-01 |
| Find all providers in zip 76107 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215559422 | Cmac Counseling, Pllc | Community/Behavioral Health | 2100 N Main St Ste 20b, Fort Worth, TX 76164-8572 | 2020-05-11 |
| 1477191385 | Canary Ridge Counseling Pllc | Community/Behavioral Health | 2501 Parkview Dr Ste 316e, Fort Worth, TX 76102-5824 | 2019-12-11 |
| 1922640010 | Abundant Enteprise LLC | Community/Behavioral Health | 5545 Lawnsberry Dr, Fort Worth, TX 76137-4390 | 2019-10-10 |
| 1790347060 | Serenity Professional Counseling, Pllc | Community/Behavioral Health | 1701 River Run Ste 1020, Fort Worth, TX 76107-6556 | 2019-07-08 |
| 1326512039 | Creative Insight Counseling | Community/Behavioral Health | 3309 Winthrop Ave Ste 76, Fort Worth, TX 76116-5600 | 2019-01-15 |
| 1659882686 | A Beautiful Future, LLC | Community/Behavioral Health | 2721 Bilglade Rd, Fort Worth, TX 76133-1613 | 2017-10-17 |
| 1417480112 | Magrin Gifted Hands Services, LLC | Community/Behavioral Health | 11805 Indian Pony Way, Fort Worth, TX 76244-5298 | 2017-04-10 |
| 1720528524 | Tlc | Community/Behavioral Health | 8425 Hornbeam Dr, Fort Worth, TX 76123-5047 | 2017-02-28 |
| 1306381827 | Irma Mireles | Community/Behavioral Health | 9624 Mariner Cir, Apt 1206, Fort Worth, TX 76179-3210 | 2016-12-20 |
| 1760934145 | Cancer Care Services | Community/Behavioral Health | 623 S Henderson St, Fort Worth, TX 76104-2920 | 2016-11-01 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76107 |
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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.