OrganizationActive
Southstar Counseling LLC
NPI 1487917274 · Clinical Social Worker · Fort Worth, TX
Provider details
- NPI number
- 1487917274
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Carl Cordova, President(817) 705-0543
- License
- 51542 (TX)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
4204 Staghorn Cir N
Fort Worth, TX 76137-1121
Phone: (817) 705-0543
Fax: (817) 386-7623
Street-level locationGet directions
Mailing address
Po Box 2512
Fort Worth, TX 76113-2512
Registry dates
- Enumerated
- 2012-06-18
- Last updated
- 2012-06-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.