NPIMap

Organization Active NPI

Kristy M Donaldson

  • Mental Health Counselor
  • Waco, TX
National Provider Identifier
1093244147
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
63523 Issued in TX
Legal business name
KRISTY M DONALDSON
Practice address
510 N Valley Mills Dr Ste 304
Waco, TX 76710-6076
Phone
(254) 262-3506
Fax
(254) 262-3506
NPI assigned
Jun 11, 2017
Organization subpart
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

Authorized official

Name
Kristy M DonaldsonNPI 1871867176
Title
PHD, LPC-S, RPT-S
Phone
(254) 262-3506

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 63523 TX Primary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 63523 TX
Counseling PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC1900X
Forensic PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TF0200X

Addresses

Primary practice location

510 N Valley Mills Dr Ste 304
Waco, TX 76710-6076

Mailing address

510 N Valley Mills Dr Ste 304
Waco, TX 76710-6076
Phone (254) 262-3506

Other identifiers 1

IdentifierTypeStateIssuer
376990301MedicaidTX

Other names 2

  • Premier Neurofeedback & Counseling Services Doing business as
  • Premier Neurofeedback and Counseling Services Doing business as

National Provider Directory

National Provider Directory

Locations

3500 Hillcrest Dr
Ste 8
Waco, TX 76708
Phone (254) 262-3506

6701 Sanger Ave
Ste 103
Waco, TX 76710
Phone (254) 644-2423

510 N Valley Mills Dr
Ste 304
Waco, TX 76710
Phone (254) 262-3506

Practitioners & affiliated clinicians

Practitioners 11

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": "1497139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773619200000",
    "number": "1093244147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 N VALLEY MILLS DR STE 304",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767106076",
            "telephone_number": "254-262-3506",
            "fax_number": "254-262-3506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 N VALLEY MILLS DR STE 304",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767106076",
            "telephone_number": "254-262-3506",
            "fax_number": "254-262-3506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTY M DONALDSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-11",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A",
        "authorized_official_last_name": "DONALDSON",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHD, LPC-S, RPT-S",
        "authorized_official_telephone_number": "254-262-3506"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "63523",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "63523",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Forensic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "376990301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Neurofeedback & Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Premier Neurofeedback & Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Premier Neurofeedback and Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; 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.