Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1134896863 Individual Practitioner Male Practitioner

Issac Roy Ballesteros , 101Y00000X

Counselor • Fort Worth, TX

Professional Overview & Biography Verified Profile Summary

Issac Ballesteros, 101Y00000X is a registered healthcare professional specializing in Counselor in Fort Worth, TX. Practice services are available at 4200 S HULEN ST STE 436 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4200 S Hulen St Ste 436

Fort Worth, TX 761094910

Telephone 8179528180
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Fort Worth, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 28.0 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
84 Specialists

Practicing in Fort Worth, TX (3454 Statewide)

Telehealth Adoption Rate
2.4% 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: 2025-12-04
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License TX 99657

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Melissa Blackwood , LCSW

Social Worker - Clinical

NPI 1477342772

Licensed Clinical Social Worker

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location December 04, 2025

Registered at 4200 S HULEN ST STE 436, FORT WORTH, TX 761094910 (Tel: 8179528180)

📍
Updated Business Mailing Address December 04, 2025

Registered at 4200 S HULEN ST STE 436, FORT WORTH, TX 761094910 (Tel: 8179528180)

👤
Provider Name / Credentials Updated December 04, 2025

Recorded as ISSAC BALLESTEROS, 101Y00000X

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 04, 2025

Counselor (License #99657 in TX)

NPI Profile Active August 30, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location August 30, 2021

Registered at 12650 N BEACH ST STE 146, FORT WORTH, TX 762444253 (Tel: 6822381872)

📍
Updated Business Mailing Address August 30, 2021

Registered at 12650 N BEACH ST STE 146, FORT WORTH, TX 762444253 (Tel: 6822381872)

👤
Provider Name / Credentials Updated August 30, 2021

Recorded as ISSAC BALLESTEROS, RBT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 30, 2021

Behavior Technician (License #RBT-21-181390 in TX)

🟢
Initial NPI Registration & Enumeration August 30, 2021

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: 1134896863
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 30, 2021
Last Update: December 04, 2025
Sole Proprietor: No

Mailing Address

4200 S Hulen St Ste 436

Fort Worth, TX 761094910

Phone: 8179528180

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.