MEDICARE: NIKKI ROSONET

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	C8220	MS
2	1041C0700X	Clinical Social Worker	C8220	MS

General Provider Information

NPI Number	:	1356948277
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NIKKI ROSONET

Provider Business Mailing Address
First Line	:	PO BOX 330813
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76163-0813
Country	:	US
Telephone Number	:	817-380-8115
Fax Number	:

Provider Business Practice Location Address
First Line	:	5150 TRAIL LAKE DR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76133-2030
Country	:	US
Telephone Number	:	817-380-8115
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/04/2020
Last Update Date	:	03/13/2026

Similar Medicare Providers

1750213971 — EMANUEL PEREDA
Practice Location Address:

5150 TRAIL LAKE DR
FORT WORTH, TX
76133-2030

Practice Phone: 817-380-8115
Practice Fax:

1982737573 — DR. GEORGE THOMAS EDWARDS D.D.S
Practice Location Address:

5154 TRAIL LAKE DR
FORT WORTH, TX
76133-2030

Practice Phone: 817-292-2152
Practice Fax:

1134897291 — NIKKI DEAR, PLLC
Practice Location Address:

5150 TRAIL LAKE DR
FORT WORTH, TX
76133-2030

Practice Phone: 251-458-6546
Practice Fax:

1225725641 — JENNIFER NANCY PEARSON LCSW
Practice Location Address:

5150 TRAIL LAKE DR STE 5
FORT WORTH, TX
76133-2030

Practice Phone: 817-900-2251
Practice Fax:

1275324394 — JESSICA JONES LCSW
Practice Location Address:

5150 TRAIL LAKE DR
FORT WORTH, TX
76133-2030

Practice Phone: 817-380-8115
Practice Fax:

1972482487 — JENNIFER PEARSON LLC
Practice Location Address:

5150 TRAIL LAKE DR STE 5
FORT WORTH, TX
76133-2030

Practice Phone: 817-900-2251
Practice Fax:

Directions to “ NIKKI ROSONET ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.