Active NPI
Kristi Leverett, LPC
- Professional Counselor
- Goldthwaite, TX
National Provider Identifier
1083808505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 60818
- Practice address
- 850 Hwy 574 West
Goldthwaite, TX 76844-0549 - Phone
- (325) 938-5518
- Fax
- (512) 310-9991
- NPI assigned
- Aug 28, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 60818 | TX | Primary |
Addresses
Primary practice location
850 Hwy 574 West
Goldthwaite, TX 76844-0549
Mailing address
850 Hwy 574 West
Goldthwaite, TX 76844-0549
Phone (325) 938-5518
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250218001172 | TX | Practitioner - Mental Health Counselor | 5991225252 | Practice locations: Brownwood, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2004
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
205 Ctr Ave
Brownwood, TX 76801-2919
Phone (325) 649-4357
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60818 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pennissi P. Taylor PH.D,PC | Past | Accepting new patients |
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": "1188259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188259200000",
"number": "1083808505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 HWY 574 WEST",
"city": "GOLDTHWAITE",
"state": "TX",
"postal_code": "768440549",
"telephone_number": "325-938-5518",
"fax_number": "512-310-9991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 HWY 574 WEST",
"city": "GOLDTHWAITE",
"state": "TX",
"postal_code": "768440549",
"telephone_number": "325-938-5518",
"fax_number": "512-310-9991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVERETT",
"first_name": "KRISTI",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-28",
"last_updated": "2007-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "60818",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Goldthwaite, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; 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.