POSITIVE IMPACT THERAPEUTIC SERVICES
NPI 1124455571
Counselor - Professional in Fort Worth, TX

Active since October 01, 2013
12650 N BEACH ST STE 114, FORT WORTH, TX 76244(832) 338-4711 Get Directions Write a Review

NPPES record last updated: October 1, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Positive Impact Therapeutic Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

POSITIVE IMPACT THERAPEUTIC SERVICES (NPI 1124455571) is a healthcare organization registered as a professional in Fort Worth, Texas and active in the NPI registry since October 2013. The organization lists Marnee Crutchfield, Administrator, as its authorized official.

NPPES Registry Identity

NPI1124455571
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NamePOSITIVE IMPACT THERAPEUTIC SERVICES
Location Address12650 N BEACH ST STE 114Fort Worth, TX 76244-4245
Mailing Address12650 N Beach St Ste 114Fort Worth, TX 76244-4245
Organization SubpartNo
Authorized OfficialMarnee CrutchfieldAdministrator · (832) 338-4711
Enumeration DateOctober 1, 2013
NPI 1124455571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in TX · 19337
12650 N BEACH ST STE 114, Fort Worth, TX 76244

Other Identifiers 1

Medicaid203432401TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
12650 N BEACH ST STE 114
FORT WORTH, TX 76244
Nurse Practitioner (Psychiatric/Mental Health)
12650 N BEACH ST STE 114
FORT WORTH, TX 76244
Nurse Practitioner (Family)
12650 N BEACH ST STE 114
FORT WORTH, TX 76244

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Positive Impact Therapeutic Services's NPI number?

The NPI number for Positive Impact Therapeutic Services is 1124455571. It was assigned to this organization in the NPPES registry on October 1, 2013.

Where is Positive Impact Therapeutic Services located?

Positive Impact Therapeutic Services is located at 12650 N Beach St Ste 114, Fort Worth, TX 76244. The listed phone number is (832) 338-4711.

What is Positive Impact Therapeutic Services's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Positive Impact Therapeutic Services was last updated on October 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.