KICK IN THE ASS COUNSELING
NPI 1982319992
Counselor - Professional in Fort Worth, TX

Active since January 16, 2023
4200 SOUTH FWY STE 520, FORT WORTH, TX 76115(817) 495-9776 Get Directions Write a Review

NPPES record last updated: October 18, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Counselor
  • Professional
  • Accepts Insurance

About KICK IN THE ASS COUNSELING

This page provides the complete NPI Profile along with additional information for Kick In The Ass Counseling, a provider established in Fort Worth, Texas operating as a Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1982319992 assigned on January 2023. The practitioner's primary taxonomy code is 101YP2500X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Victoria Gonzales Lpc (Authorized Official)

NPI
1982319992 Verify this NPI
Provider Name
KICK IN THE ASS COUNSELING
Entity Type
Organization
Location Address
4200 SOUTH FWY STE 520 FORT WORTH, TX 76115
Location Phone
(817) 495-9776
Mailing Address
4200 SOUTH FWY STE 520 FORT WORTH, TX 76115
Mailing Phone
(817) 495-9776
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-16-2023
Last Update Date
10-18-2024
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Advantage Bronze HMO? 204 - HMO
  • Blue Advantage Bronze HMO? 301 - HMO
  • Blue Advantage Bronze HMO? Standard - HMO
  • Blue Advantage Gold HMO? 206 - HMO
  • Blue Advantage Gold HMO? 603 - HMO
  • Blue Advantage Gold HMO? Standard - HMO
  • Blue Advantage Plus Bronze? 303 - POS
  • Blue Advantage Plus Bronze? 305 - POS
  • Blue Advantage Plus Bronze? Standard - POS
  • Blue Advantage Plus Gold? 203 - POS
  • Blue Advantage Plus Gold? 803 - POS
  • Blue Advantage Plus Gold? Standard - POS
  • Blue Advantage Plus Silver? 202 - POS
  • Blue Advantage Plus Silver? 605 - POS
  • Blue Advantage Plus Silver? Standard - POS
  • Blue Advantage Security HMO? 200 - HMO
  • Blue Advantage Silver HMO? 205 - HMO
  • Blue Advantage Silver HMO? 801 - HMO
  • Blue Advantage Silver HMO? Standard - HMO
  • MyBlue Health Bronze? 402 - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

VICTORIA GONZALES LPC

Authorized Official Title
AUTHORIZED OFFICIAL
Authorized Official Phone
(817) 495-9776

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
86035OTHER (01)TXLPC LICENSE

Reviews for KICK IN THE ASS COUNSELING

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Counselor (Mental Health)
4200 SOUTH FWY STE 520
FORT WORTH, TX 76115

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1982319992, enumerated as an "organization" on January 16, 2023.

The provider is located at 4200 SOUTH FWY STE 520 FORT WORTH, TX 76115 and the phone number is (817) 495-9776.

Counselor with taxonomy code 101YP2500X and a focus in Professional.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas, Medicare and. Please consult your insurance carrier or call the provider to verify.