Organization Active NPI

Kristy Paddack Counseling PLLC

  • Mental Health Counselor
  • Amarillo, TX
National Provider Identifier
1093060998
Registry record updated Jul 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
66916 Issued in TX
Legal business name
KRISTY PADDACK COUNSELING PLLC
Practice address
4300 Teckla Blvd
Suite 3B
Amarillo, TX 79109-5494
Phone
(806) 206-8583
Fax
(806) 418-2691
NPI assigned
Jul 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2012

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

Authorized official

Name
Kristy S Paddack, LLCNPI 1215293238
Title
Owner
Phone
(806) 206-8583

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 66916 TX Primary

Addresses

Primary practice location

4300 Teckla Blvd
Suite 3B
Amarillo, TX 79109-5494

Mailing address

8308 Paragon Dr
Amarillo, TX 79119-7220
Phone (806) 206-8583

National Provider Directory

National Provider Directory

Locations

4300 Teckla Blvd
Ste 3B
Amarillo, TX 79109
Phone (806) 206-8583

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342483200000",
    "number": "1093060998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8308 PARAGON DR",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791197220",
            "telephone_number": "806-206-8583",
            "fax_number": "806-418-2691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 TECKLA BLVD",
            "address_2": "SUITE 3B",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791095494",
            "telephone_number": "806-206-8583",
            "fax_number": "806-418-2691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTY PADDACK COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-17",
        "last_updated": "2012-07-17",
        "status": "A",
        "authorized_official_last_name": "PADDACK",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-206-8583",
        "authorized_official_credential": "LLC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "66916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.