Kristie Carol Jordan, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

58040 Issued in TX

Practice address

400 Packsaddle Pass
Wimberley, TX 78676-6306

Phone

(409) 673-2348

NPI assigned

Sep 17, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 1999

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Three Oaks Counseling Group, LLC

  • Psychiatry Physician
  • West Lake Hills, TX
  • NPI 1457753287

  Mental Health

  Medicare reassignment NPD
• Samaritan Counseling Center of Southeast Texas

  • Counselor
  • Port Arthur, TX
  • NPI 1316909799

  Multi-Specialty

  NPD
• Georgetown Psychological Services PLLC

  • Psychologist
  • Georgetown, TX
  • NPI 1942504949

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1600300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1013523869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 PACKSADDLE PASS",
            "city": "WIMBERLEY",
            "state": "TX",
            "postal_code": "786766306",
            "telephone_number": "409-673-2348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 PACKSADDLE PASS",
            "city": "WIMBERLEY",
            "state": "TX",
            "postal_code": "786766306",
            "telephone_number": "409-673-2348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "KRISTIE",
        "middle_name": "CAROL",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-17",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "58040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holistic Counseling LLC
• Kenneth B Hudspeth, M.D.
• Madison Luce Huser, O.D.
• Ivan Ramirez MD PA
• Mary Johnson, RN
• Phillip Murray Kast, LPC
• Samantha Marie Kaven, COTA
• Jennifer Kenley, LPC-S, NCC
• Kenneth B. Hudspeth M.D.
• Brenda Koser

• Mental Health Counselor in Wimberley, TX
• Providers in Wimberley, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.