Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Eric Bembenek

Individual provider Professional Counselor · NPI 1396601555

Eric Bembenek is a Mental Health Counselor in Fort Worth, Texas. Qualified in 2014, 12 years ago. Licensed in Texas.

Years since qualifying
12
Licensed in
TX
In the registry since
2026
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Practice location Address checks out

1412 W Magnolia Ave Ste 210
Fort Worth, TX 76104-4364
Phone: (210) 399-3252
Fax: (617) 807-0958
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 74424 (TX)

Record details

NPI number1396601555
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 1, 2026
Last updated in NPPESJanuary 1, 2026
Certification dateJanuary 1, 2026
Mailing addressPo Box 748465, Atlanta, GA 30374-8465

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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