OrganizationActive
Counseling and Psychotherapy Services
NPI 1003092941 · Mental Health Counselor · Benbrook, TX
Provider details
- NPI number
- 1003092941
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Cary Clark, Owner(817) 782-1006
- License
- 8755 (TX)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6461 Southwest Blvd
Benbrook, TX 76132-2777
Phone: (817) 782-1006
Street-level locationGet directions
Mailing address
6461 Southwest Blvd
Fort Worth, TX 76132
Registry dates
- Enumerated
- 2008-01-10
- Last updated
- 2008-01-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.