MEDICARE: MARK A RHODES LPC

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	101Y00000X	Counselor	17947	TX
2	101YP2500X	Professional Counselor	17947	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	10037201	OTHER	TX	AMERIGROUP PIN
2	1336198894	OTHER		GRP NPI NUMBER
3	5669761	OTHER	TX	FIRSTHEALTH PIN
4	135391	OTHER	TX	SUPERIOR PIN
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	00G981	OTHER	TX	BCBSTX GRP PIN
7	84762L	OTHER	TX	BCBST IND PIN

General Provider Information

NPI Number	:	1750468385
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARK A RHODES LPC

Provider Business Mailing Address
First Line	:	PO BOX 173684
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76003-3684
Country	:	US
Telephone Number	:	817-233-6939
Fax Number	:	817-563-7427

Provider Business Practice Location Address
First Line	:	1160 COUNTRY CLUB LN # 1160
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76112-2008
Country	:	US
Telephone Number	:	817-361-7201
Fax Number	:	817-361-7521

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

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	01/18/2026

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Directions to “ MARK A RHODES LPC” Practice Location

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