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

Issac Roy Ballesteros, 101Y00000X

Individual provider Counselor · NPI 1134896863

Issac Roy Ballesteros, 101Y00000X is a Counselor in Fort Worth, Texas. Licensed in Texas. Registered with an NPI since 2021.

Licensed in
TX
In the registry since
2021
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Practice location Address checks out

4200 S Hulen St Ste 436
Fort Worth, TX 76109-4910
Phone: (817) 952-8180
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 99657 (TX)

Record details

NPI number1134896863
Entity typeIndividual (Type 1)
GenderMale
Credentials 101Y00000X
Sole proprietorNo
NPI enumeratedAugust 30, 2021
Last updated in NPPESDecember 4, 2025
Certification dateDecember 4, 2025

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