COUNTRY PLACE COUNSELING, PLLC
NPI 1598085672
Social Worker - Clinical in Fort Worth, TX
About Country Place Counseling, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COUNTRY PLACE COUNSELING, PLLC (NPI 1598085672) is a healthcare organization registered as a clinical in Fort Worth, Texas and active in the NPI registry since June 2010. The organization lists Janet L. Douglas, Owner/member Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Country Place Counseling, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Country Place Counseling, PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Country Place Counseling, PLLC's NPI number?
The NPI number for Country Place Counseling, PLLC is 1598085672. It was assigned to this organization in the NPPES registry on June 10, 2010.
Where is Country Place Counseling, PLLC located?
Country Place Counseling, PLLC is located at 4255 Bryant Irvin Rd Suite 101, Fort Worth, TX 76109. The listed phone number is (817) 228-4855.
What is Country Place Counseling, PLLC's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Country Place Counseling, PLLC enrolled in Medicare?
Yes. Country Place Counseling, PLLC is registered in the Medicare PECOS enrollment system.
When is Country Place Counseling, PLLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Country Place Counseling, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Country Place Counseling, PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Country Place Counseling, PLLC accept?
Health plans from Blue Cross and Blue Shield of Texas list Country Place Counseling, PLLC 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 Country Place Counseling, PLLC was last updated on June 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Country Place Counseling, Pllc · NPI 1598085672
Clinical organization in Fort Worth, Texas. Organization record, active in the CMS NPPES registry since June 10, 2010.
## Identity
- **NPI:** 1598085672 (Entity type: Organization)
- **Enumerated:** June 10, 2010
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **Organization subpart:** No
- **Authorized official:** Janet Douglas, OWNER/MEMBER MANAGER
## Practice location
- **Address:** 4255 BRYANT IRVIN RD, SUITE 101, Fort Worth, TX 76109-4233
- **Phone:** (817) 228-4855 · **Fax:** (817) 735-9404
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Texas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Clinical Social Worker) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 16, 2010
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Source: [NPI Profile](https://npiprofile.com/npi/1598085672) · Data from the CMS NPPES public registry.