MRS. MERRILL L LITTLEBERRY LCSW LCDC CCM NPI 1649235060

NPI Information

  • NPI: 1649235060
  • Provider Name: MRS. MERRILL L LITTLEBERRY, LCSW, LCDC, CCM
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4200 SOUTH FWY
    SUITE 424
    FORT WORTH, TX
    ZIP 76115
  • Phone: (817) 920-9321

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NPI Details

MRS. Merrill L Littleberry, LCSW, LCDC, CCM is an addiction (substance use disorder) counselor in Fort Worth, TX with 30 years of experience. MRS. Merrill L Littleberry, LCSW, LCDC, CCM NPI is 1649235060. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4200 SOUTH FWY
SUITE 424
FORT WORTH, TX
ZIP 76115-400
Phone: (817) 920-9321
Fax: (817) 920-9336

The NPI 1649235060 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Psychotherapy, 1 hour (HCPCS:90837)

The enumeration date for this NPI number is 4/19/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)9615TEXASYes
21041C0700XSocial WorkerClinical28682TEXASX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
151MXOTHERTEXASBC/BS
2612159MEDICARE ID-TYPE UNSPECIFIEDTEXAS
3560613OTHERTEXASVALUE OPTIONS
463003OTHERTEXASHORIZON HEALTH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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