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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CAROLYN J CLONTZ MS,LMFT, LCDC
NPI 1215428974
Marriage & Family Therapist in Southlake, TX

Active since May 29, 2018PECOS EnrolledAccepts Medicare Assignment
431 E STATE HIGHWAY 114 STE 140, SOUTHLAKE, TX 76092(844) 824-8775 Get Directions Write a Review

NPPES record last updated: October 1, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 1, 2026, Oct 3, 2024, Jun 22, 2021 (3 updates tracked since 2021).

About Carolyn J Clontz Ms,lmft, Lcdc NPPES

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

CAROLYN J CLONTZ MS,LMFT, LCDC (NPI 1215428974) is an individual marriage & family therapist in Southlake, Texas, licensed in Texas (203099) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in North Richland Hills, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1215428974
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameCAROLYN J CLONTZCredential: MS,LMFT, LCDC
Location Address431 E STATE HIGHWAY 114 STE 140Southlake, TX 76092-4412
Mailing Address431 E State Highway 114 Ste 140Southlake, TX 76092-4412 · (844) 824-8775
Phone(844) 824-8775
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 29, 2018
Last NPPES UpdateOctober 1, 20263 updates tracked since enumeration
NPPES CertifiedOctober 1, 2026
✔ NPI 1215428974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in TX · 203099
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 15348 (TX)
431 E STATE HIGHWAY 114 STE 140, Southlake, TX 76092
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Secondary Practice Location 1

Location 18408 Davis Blvd Ste 240North Richland Hills, TX 76182-8610 · Phone (817) 765-5664

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Cigna Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Carolyn J Clontz Ms,lmft, Lcdc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5597289009
PECOS Enrollment IDI20250407001180
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Carolyn Clontz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Emh Mid-Cities PLLC
4.5 mi
Mental Health
8408 DAVIS BLVD STE 240
North Richland Hills, TX 76182
  • Reassigned Medicare billing, Texas enrollment
  • 18 clinicians in this Medicare group
NPI 1477277192 (682) 382-1329

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 10

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

DESTINEE NICHOLE GREENWELL LPC, LCDC
Counselor (Mental Health)
431 E STATE HIGHWAY 114 STE 140
SOUTHLAKE, TX 76092
Tarrant County (281) 819-1566
JEANIE LYN JEFFERSON LCSW
Social Worker (Clinical)
431 E STATE HIGHWAY 114 STE 140
SOUTHLAKE, TX 76092
Tarrant County (844) 824-8775
ELIZABETH WALKER PSY.D.
Psychologist (Clinical)
431 E STATE HIGHWAY 114 STE 140
SOUTHLAKE, TX 76092
Tarrant County (844) 824-8775
MS. LEATHA JO NOWLAN LPC
Counselor (Professional)
431 E STATE HIGHWAY 114 STE 140
SOUTHLAKE, TX 76092
Tarrant County (844) 824-8775
MRS. DEE HUNT LPC
Counselor (Professional)
431 E STATE HIGHWAY 114 STE 140
SOUTHLAKE, TX 76092
Tarrant County (844) 824-8775
CARMEN SMITH LPC
Counselor (Professional)
431 E STATE HIGHWAY 114 STE 140
SOUTHLAKE, TX 76092
Tarrant County (844) 824-8775
ROBERT P. MULLEN LPC-S
Counselor (Mental Health)
431 E STATE HIGHWAY 114 STE 140
SOUTHLAKE, TX 76092
Tarrant County (844) 824-8775
HANNAH NJOKI GACHIHI APRN-CNP
Nurse Practitioner (Psychiatric/Mental Health)
431 E STATE HIGHWAY 114 STE 140
SOUTHLAKE, TX 76092
Tarrant County (844) 824-8775

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 Carolyn Clontz's NPI number?

The NPI number for Carolyn Clontz is 1215428974. It was assigned to this individual provider in the NPPES registry on May 29, 2018.

Where is Carolyn Clontz located?

Carolyn Clontz practices at 431 E State Highway 114 Ste 140, Southlake, TX 76092. The listed phone number is (844) 824-8775.

What is Carolyn Clontz's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Carolyn Clontz enrolled in Medicare?

Yes. Carolyn Clontz is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Carolyn Clontz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carolyn Clontz reassigns Medicare benefits to Emh Mid-Cities PLLC (North Richland Hills, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carolyn Clontz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carolyn Clontz accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Cigna Healthcare, Molina Healthcare and Oscar Insurance Company and 1 other insurer list Carolyn Clontz as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Carolyn Clontz was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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.