Individual provider · Type 1 NPI

Jeannie Mata, LPC-A

Professional Counselor · Fort Worth, TX

NPI number 1982517090 Active

Practice location

5751 Kroger Dr Ste 260
Fort Worth, TX 76244-5650

Call (817) 366-0053 Map

Mailing address

6332 Meadow Lakes Dr
North Richland Hills, TX 76180-7802

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X101415 (TX)

Professional Counselor: Definition to come...

2 other providers at this address

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About NPI 1982517090

Jeannie Mata, LPC-A's National Provider Identifier is 1982517090, issued on Sep 28, 2026. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fort Worth, TX. The record was last updated on Sep 28, 2026.