Kristi Ottis, MS, NCC, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

66163 Issued in TX

Practice address

3526 E FM 528 Rd
Suite 208
Friendswood, TX 77546-5014

Phone

(479) 200-6034

Fax

(281) 819-7845

NPI assigned

Mar 22, 2007

Last updated

Oct 16, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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

• Friendswood Counseling Center, LLC

  • Community/Behavioral Health Agency
  • Friendswood, TX
  • NPI 1780937722
  NPD (past) Authorized official

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350345600000",
    "number": "1083730527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3147 INDIAN SUMMER TRL",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775465051",
            "telephone_number": "479-200-6034",
            "fax_number": "281-819-7845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3526 E FM 528 RD",
            "address_2": "SUITE 208",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775465014",
            "telephone_number": "479-200-6034",
            "fax_number": "281-819-7845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTIS",
        "first_name": "KRISTI",
        "credential": "MS, NCC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2012-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "66163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "497581405",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TPI-216419601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• One Source Rehabilitation, Inc.
• Only Smiles Family Dental PLLC
• Orgone Healthcare LLC
• Orsak Medical Association (Friendswood Family Medicine)
• Glenn Thomas Orsak, M.D.
• Hope Marie Otto, LPC-INTERN, NCC
• Hui Ouyang, D.C., LAC, OMD
• Monica Owens
• Lezley Pacheco, RPH
• Jennifer Nahir Padilla Melendez, OTR, OTD

• Professional Counselor in Friendswood, TX
• Providers in Friendswood, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; 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.