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

Juan Moises Bautista, LPCA

Individual provider Mental Health Counselor · NPI 1750232195

Juan Moises Bautista, LPCA is a Mental Health Counselor in Fort Worth, Texas. Qualified in 2025, 1 year ago. Licensed in Texas.

Years since qualifying
1
Licensed in
TX
In the registry since
2026

Practice location Address checks out

711 Pennsylvania Ave
Fort Worth, TX 76104-2222
Phone: (903) 957-0082
Fax: (903) 957-0351
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 100806 (TX)

Record details

NPI number1750232195
Entity typeIndividual (Type 1)
GenderMale
Credentials LPCA
Sole proprietorNo
NPI enumeratedFebruary 3, 2026
Last updated in NPPESFebruary 3, 2026
Certification dateFebruary 3, 2026

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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