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JUAN MOISES BAUTISTA LPC A
NPI 1750232195
Counselor - Mental Health in Fort Worth, TX

Active since February 03, 2026PECOS Enrolled
711 PENNSYLVANIA AVE, FORT WORTH, TX 76104(903) 957-0082(903) 957-0351 Get Directions Write a Review

NPPES record last updated: February 3, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Juan Moises Bautista Lpc A NPPES

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

JUAN MOISES BAUTISTA LPC A (NPI 1750232195) is an individual mental health provider in Fort Worth, Texas, licensed in Texas (100806) and active in the NPI registry since February 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1750232195
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJUAN MOISES BAUTISTACredential: LPC A
Location Address711 PENNSYLVANIA AVEFort Worth, TX 76104-2222
Mailing Address425 N Highland Ave # 260Sherman, TX 75092-7377 · (903) 957-0082 · Fax (903) 957-0351
Phone(903) 957-0082
Fax(903) 957-0351
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateFebruary 3, 2026
NPPES CertifiedFebruary 3, 2026
✔ NPI 1750232195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in TX · 100806
711 PENNSYLVANIA AVE, Fort Worth, TX 76104
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Juan Moises Bautista Lpc A is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8224510128
PECOS Enrollment IDI20260227004269
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.

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.

BRYAN JOSEPH WEST LMSW
Social Worker (Clinical)
711 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Tarrant County (903) 957-0082
DR. MICHAEL DANIEL HUANG M.D.
Family Medicine
711 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Tarrant County (903) 957-0082

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 Juan Bautista's NPI number?

The NPI number for Juan Bautista is 1750232195. It was assigned to this individual provider in the NPPES registry on February 3, 2026.

Where is Juan Bautista located?

Juan Bautista practices at 711 Pennsylvania Ave, Fort Worth, TX 76104. The listed phone number is (903) 957-0082.

What is Juan Bautista's specialty?

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

Is Juan Bautista enrolled in Medicare?

Yes. Juan Bautista is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Juan Bautista was last updated on February 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.