Individual provider Active NPI

Kristen M. Ohlenforst, PH.D.

  • Clinical Psychologist
  • Dallas, TX
National Provider Identifier
1003002015
Registry record updated Jun 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
34408 Issued in TX
Practice address
12800 Hillcrest Rd # A124
Dallas, TX 75230-1524
Phone
(214) 755-6119
NPI assigned
Sep 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 21664 CA
Clinical Psychologist 103TC0700X 34408 TX Primary

Addresses

Primary practice location

12800 Hillcrest Rd # A124
Dallas, TX 75230-1524

Mailing address

12800 Hillcrest Rd # A124
Dallas, TX 75230-1524
Phone (214) 755-6119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
34408TXMDClinical Psychologist
21664CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohlenforst Therapy Dallas, PLLC Clinical CurrentSince Jul 28, 2024 Accepting new patients

Locations

12800 Hillcrest Rd
#A124
Dallas, TX 75230
Phone (214) 755-6119

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592784000000",
    "number": "1003002015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12800 HILLCREST RD # A124",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752301524",
            "telephone_number": "214-755-6119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12800 HILLCREST RD # A124",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752301524",
            "telephone_number": "214-755-6119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OHLENFORST",
        "first_name": "KRISTEN",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-24",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "21664",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "34408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.