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Active NPI 1427752500 Individual Practitioner Female Practitioner

Mallory Brooke Peterman , LPC-A

Counselor - Professional • Fort Worth, TX

Professional Overview & Biography Verified Profile Summary

Mallory Peterman, LPC-A is a registered healthcare professional specializing in Counselor - Professional in Fort Worth, TX. Practice services are available at 1751 RIVER RUN STE 200 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1751 River Run Ste 200

Fort Worth, TX 761076670

Telephone 8172010885
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Fort Worth, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.9 Yrs
State Avg: 14.1 Yrs
Regional Practice Density
783 Specialists

Practicing in Fort Worth, TX (21203 Statewide)

Telehealth Adoption Rate
2.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-03-30
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License TX 87951

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

25 Associated Practitioners
Ashley Medina

Behavior Technician

NPI 1073213336
Emily Braun , LPC-ASSOCIATE

Counselor - Mental Health

NPI 1083466601

LPCASSOCIATE

Lauren Walker

Nutritionist

NPI 1114524360
Nicholas Young , LPC-ASSOCIATE

Counselor - Mental Health

NPI 1114880572

LPCASSOCIATE

Barbara Buchanan , FAMILY THERAPIST

Marriage & Family Therapist

NPI 1144869181

FAMILYTHERAPIST

NPI 1295448579

Doctor of Psychology (Psy.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 30, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location March 30, 2023

Registered at 1751 RIVER RUN STE 200, FORT WORTH, TX 761076670 (Tel: 8172010885)

📍
Updated Business Mailing Address March 30, 2023

Registered at 424 LOVELOCK DR, FORT WORTH, TX 761087709 (Tel: 8172010885)

👤
Provider Name / Credentials Updated March 30, 2023

Recorded as MALLORY PETERMAN, LPC-A

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 30, 2023

Counselor (License #87951 in TX)

🟢
Initial NPI Registration & Enumeration March 30, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1427752500
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 30, 2023
Last Update: March 30, 2023
Sole Proprietor: No

Mailing Address

424 Lovelock Dr

Fort Worth, TX 761087709

Phone: 8172010885

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.