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KENNETH CARLISLE
NPI 1306738901
Counselor - Mental Health in Fort Worth, TX

Active since July 17, 2025
5201 MCCART AVE STE H, FORT WORTH, TX 76115(817) 761-7692 Get Directions Write a Review

NPPES record last updated: July 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kenneth Carlisle NPPES

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

KENNETH CARLISLE (NPI 1306738901) is an individual mental health provider in Fort Worth, Texas and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1306738901
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameKENNETH CARLISLE
Location Address5201 MCCART AVE STE HFort Worth, TX 76115-3700
Mailing Address5201 Mccart Ave Ste HFort Worth, TX 76115-3700 · (817) 761-7692
Phone(817) 761-7692
Sole ProprietorYes
Enumeration DateJuly 17, 2025
NPPES CertifiedJuly 17, 2025
✔ NPI 1306738901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
5201 MCCART AVE STE H, Fort Worth, TX 76115
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Other Providers at the Same Location NPPES 4

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

MR. JAMES CULLEN MCNAIR LCDC
Counselor (Addiction (Substance Use Disorder))
5201 MCCART AVE STE H
FORT WORTH, TX 76115
Tarrant County (817) 207-8700
JASON LAMONT BRISTER LCDC
Counselor (Addiction (Substance Use Disorder))
5201 MCCART AVE STE H
FORT WORTH, TX 76115
Tarrant County (817) 207-8700
MRS. CRYSTAL MARIE KINMON LCDC-I
Counselor (Addiction (Substance Use Disorder))
5201 MCCART AVE STE H
FORT WORTH, TX 76115
Tarrant County (817) 207-8700
LAKEESHAW OMOYENI LVN
Licensed Vocational Nurse
5201 MCCART AVE STE H
FORT WORTH, TX 76115
Tarrant County (817) 207-8700

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 Kenneth Carlisle's NPI number?

The NPI number for Kenneth Carlisle is 1306738901. It was assigned to this individual provider in the NPPES registry on July 17, 2025.

Where is Kenneth Carlisle located?

Kenneth Carlisle practices at 5201 Mccart Ave Ste H, Fort Worth, TX 76115. The listed phone number is (817) 761-7692.

What is Kenneth Carlisle's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Kenneth Carlisle was last updated on July 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.