Individual provider Active NPI

Kendall Palmer, LPC, NBCC

  • Professional Counselor
  • Prosper, TX
National Provider Identifier
1083238927
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
75066 Issued in TX
Practice address
161 W 3Rd St Ste 100
Prosper, TX 75078-2906
Phone
(214) 618-8402
NPI assigned
Jun 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2023

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 75066 TX Primary

Addresses

Primary practice location

161 W 3Rd St Ste 100
Prosper, TX 75078-2906

Mailing address

161 W 3Rd St Ste 100
Prosper, TX 75078-2906
Phone (214) 618-8402

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

State licenses

LicenseStateTypeSpecialty
75066TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Peace by Piece Counseling PLLC Counselor Past Accepting new patients
Greer & Associates Family Services, PLLC Professional PastSince Jun 1, 2020 Accepting new patients
Greer & Associates Family Services, PLLC Mental Health PastSince Jun 1, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.kendallpalmer@136732.advancedmd-direct.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": "1591401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1083238927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 W 3RD ST STE 100",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750782906",
            "telephone_number": "214-618-8402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 W 3RD ST STE 100",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750782906",
            "telephone_number": "214-618-8402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "KENDALL",
        "credential": "LPC, NBCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-06",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "75066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prosper, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; 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.