Individual provider Active NPI

Nancy Klitzke, LPC

  • Professional Counselor
  • Mansfield, TX
National Provider Identifier
1073385803
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
96090 Issued in TX
Practice address
2401 Callender Rd Ste 105
Mansfield, TX 76063-8869
Phone
(214) 444-3557
NPI assigned
Oct 25, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 96090 TX Primary

Addresses

Primary practice location

2401 Callender Rd Ste 105
Mansfield, TX 76063-8869

Mailing address

2401 Callender Rd Ste 105
Mansfield, TX 76063-8869
Phone (214) 444-3557

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250602001611 TX Practitioner - Mental Health Counselor 5597274589 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Geode Health of Texas, PLLCGroup PAC ID 2062896897, 158 clinicians

Practice addresses (Care Compare)

2401 Callender Rd
Suite 105
Mansfield, TX 76063-8869
Phone (817) 382-6797

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
96090TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Avail Christian Counseling, PLLC CurrentSince May 1, 2025 Accepting new patients
BSW Geode Clinicians of Texas PLLC CurrentSince Sep 1, 2025 Accepting new patients
Geode Health of Texas, PLLC CurrentSince May 28, 2025 Accepting new patients

Locations

1211 W 22nd St
Ste 406
Oak Brook, IL 60523

1701 River Run
Fort Worth, TX 76107
Phone (254) 768-3397

4119 Montrose Blvd
Ste 230
Houston, TX 77006
Phone (281) 990-1506

768 Bandit Trl
Keller, TX 76248
Phone (817) 865-3954

2401 Callender Rd
Ste 105
Mansfield, TX 76063
Phone (214) 444-3557

3009 E Renner Rd
Ste 120
Richardson, TX 75082
Phone (469) 808-1690

7000 Bee Caves Rd
Ste 325
West Lake Hills, TX 78746
Phone (512) 200-8334

Interoperability endpoints

  • Direct secure messaging: nancy.wilkins.1@25899.direct.athenahealth.com

Organizations & group practices 3

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": "1698192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1073385803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 CALLENDER RD STE 105",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760638869",
            "telephone_number": "214-444-3557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 CALLENDER RD STE 105",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760638869",
            "telephone_number": "214-444-3557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLITZKE",
        "first_name": "NANCY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-25",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "96090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

Verify at the official NPI Registry.