The Magnolia Clinic, LLC
NPI 1629731302 · Marriage & Family Therapist · Fort Worth, TX
The Magnolia Clinic, LLC is a Marriage & Family Therapist organization in Fort Worth, TX (NPI 1629731302).
Provider details
- NPI number
- 1629731302
- Entity type
- Organization
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Jacob Wasonga, Owner(817) 609-2289
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
Mailing address
Registry dates
- Enumerated
- 2021-10-19
- Last updated
- 2021-10-19
- Certified
- 2021-10-19
Frequently asked questions
- What is The Magnolia Clinic, LLC's NPI number?
- The Magnolia Clinic, LLC's National Provider Identifier (NPI) is 1629731302, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is The Magnolia Clinic, LLC?
- The Magnolia Clinic, LLC is classified in the NPPES registry as Marriage & Family Therapist (Behavioral Health & Social Service Providers).
- Where is The Magnolia Clinic, LLC located?
- The Magnolia Clinic, LLC's practice location on file with NPPES is 1124 Galveston Ave Ste B, Fort Worth, TX 76104-4878.
- What is The Magnolia Clinic, LLC's phone number?
- The practice phone number listed in the NPPES registry for The Magnolia Clinic, LLC is (817) 609-2289.
- Who is the authorized official for The Magnolia Clinic, LLC?
- The authorized official listed on The Magnolia Clinic, LLC's NPPES record is Jacob Wasonga, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is The Magnolia Clinic, LLC's NPI active?
- Yes — The Magnolia Clinic, LLC's NPI (1629731302) is active in the NPPES registry as of the last update on 2021-10-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.