1. Home
  2. Directory
  3. Texas
  4. Fort Worth
  5. Clinic Center
  6. NPI Profile

EATING RECOVERY CENTER OF TEXAS
NPI 1417446709
Clinic/Center - Adult Mental Health in Fort Worth, TX

Active since May 02, 2018CLIA 45D2148372 · Waiver
4200 S HULEN ST STE 436, FORT WORTH, TX 76109(877) 825-8584 Get Directions Write a Review

NPPES record last updated: December 15, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 15, 2025, Jul 2, 2025, Dec 23, 2022 and 1 more (4 updates tracked since 2018).

About Eating Recovery Center Of Texas NPPES

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

EATING RECOVERY CENTER OF TEXAS (NPI 1417446709), doing business as Eating Recovery Center Of Ft. Worth, is a healthcare organization registered as an adult mental health in Fort Worth, Texas and active in the NPI registry since May 2018. The organization holds a CLIA Waiver certificate valid through May 8, 2028 and lists Jess Joslin, Manager, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1417446709
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameEATING RECOVERY CENTER OF TEXAS
Location Address4200 S HULEN ST STE 436Fort Worth, TX 76109-4910
Mailing Address7351 E. Lowry Blvd, Ste 200Denver, CO 80230 · (972) 476-0800 · Fax (972) 985-0403
Phone(877) 825-8584
Organization SubpartYesParent: Eating Recovery Center Of Texas Llc
Authorized OfficialJess JoslinManager, Credentialing · (303) 731-8164
Enumeration DateMay 2, 2018
Last NPPES UpdateDecember 15, 20254 updates tracked since enumeration
NPPES CertifiedDecember 15, 2025
✔ NPI 1417446709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

Also ListedNutritionistTaxonomy 133N00000X
Also ListedNutritionist · Nutrition, EducationTaxonomy 133NN1002X
Also ListedDietitian, RegisteredTaxonomy 133V00000X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X
Also ListedGeneral PracticeTaxonomy 208D00000X
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X
4200 S HULEN ST STE 436, Fort Worth, TX 76109
Open in Google Maps ↗

Other Names 1

Doing Business AsEating Recovery Center Of Ft. Worth

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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, Moda Health Plan, Inc..Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2148372

Eating Recovery Center · Fort Worth, TX
Active · expires May 8, 2028
CLIA Number45D2148372
Laboratory TypeEating Disorder Treatment
Certificate Effective DateMay 9, 2026
Certificate Expiration DateMay 8, 2028
Laboratory DirectorJamie Phillips
Laboratory Phone(817) 952-8155
Laboratory LocationEating Recovery Center4200 S Hulen Suite 436, Fort Worth, TX 76109
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

ISSAC ROY BALLESTEROS 101Y00000X
Counselor
4200 S HULEN ST STE 436
FORT WORTH, TX 76109
Tarrant County (817) 952-8180
MELISSA LEIGH BLACKWOOD LCSW
Social Worker (Clinical)
4200 S HULEN ST STE 436
FORT WORTH, TX 76109
Tarrant County (817) 952-8729

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 Eating Recovery Center Of Texas's NPI number?

The NPI number for Eating Recovery Center Of Texas is 1417446709. It was assigned to this organization in the NPPES registry on May 2, 2018. The provider is doing business as Eating Recovery Center of Ft. Worth.

Where is Eating Recovery Center Of Texas located?

Eating Recovery Center Of Texas is located at 4200 S Hulen St Ste 436, Fort Worth, TX 76109. The listed phone number is (877) 825-8584.

What is Eating Recovery Center Of Texas's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

Does Eating Recovery Center Of Texas hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2148372) is associated with this NPI, valid through May 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Eating Recovery Center Of Texas accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas and Moda Health Plan, Inc. list Eating Recovery Center Of Texas 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 Eating Recovery Center Of Texas was last updated on December 15, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.