KICK IN THE ASS COUNSELING
NPI 1982319992
Counselor - Professional in Fort Worth, TX
About Kick In The Ass Counseling NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KICK IN THE ASS COUNSELING (NPI 1982319992) is a healthcare organization registered as a professional in Fort Worth, Texas and active in the NPI registry since January 2023. The organization lists Victoria Gonzales, Authorized Official, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kick In The Ass Counseling is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Kick In The Ass Counseling, 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 Kick In The Ass Counseling's NPI number?
The NPI number for Kick In The Ass Counseling is 1982319992. It was assigned to this organization in the NPPES registry on January 16, 2023.
Where is Kick In The Ass Counseling located?
Kick In The Ass Counseling is located at 4200 South Fwy Ste 520, Fort Worth, TX 76115. The listed phone number is (817) 495-9776.
What is Kick In The Ass Counseling's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Kick In The Ass Counseling enrolled in Medicare?
Yes. Kick In The Ass Counseling is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Kick In The Ass Counseling?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Kick In The Ass Counseling. 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 Kick In The Ass Counseling accept?
Health plans from Blue Cross and Blue Shield of Texas list Kick In The Ass Counseling 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 Kick In The Ass Counseling was last updated on October 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Kick In The Ass Counseling · NPI 1982319992
Professional organization in Fort Worth, Texas. Organization record, active in the CMS NPPES registry since January 16, 2023.
## Identity
- **NPI:** 1982319992 (Entity type: Organization)
- **Enumerated:** January 16, 2023
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **Organization subpart:** No
- **Authorized official:** Victoria Gonzales, AUTHORIZED OFFICIAL
## Practice location
- **Address:** 4200 SOUTH FWY STE 520, Fort Worth, TX 76115-1406
- **Phone:** (817) 495-9776
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Mental Health Counselor) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 18, 2024
- **Other identifiers:** Other 86035 (TX)
---
Source: [NPI Profile](https://npiprofile.com/npi/1982319992) · Data from the CMS NPPES public registry.