Individual provider Active NPI

Kristi Jan Elliott, MS, LPC-S

  • Professional Counselor
  • Bulverde, TX
National Provider Identifier
1093853848
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
61460 Issued in TX
Practice address
29710 US Highway 281 N Ste 205
Bulverde, TX 78163-3289
Phone
(281) 844-3286
NPI assigned
Feb 2, 2007
Last updated
Aug 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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 61460 TX Primary

Addresses

Primary practice location

29710 US Highway 281 N Ste 205
Bulverde, TX 78163-3289

Mailing address

1303 David Crockett
Fischer, TX 78623-2103
Phone (281) 844-3286

Other identifiers 1

IdentifierTypeStateIssuer
186082705MedicaidTX

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
61460TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Elliott Counseling and Training, PLLC CurrentSince Aug 28, 2022 Accepting new patients

Locations

29710 US Highway 281 N
Ste 205
Bulverde, TX 78163
Phone (281) 844-3286

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1093853848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 DAVID CROCKETT",
            "city": "FISCHER",
            "state": "TX",
            "postal_code": "786232103",
            "telephone_number": "281-844-3286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29710 US HIGHWAY 281 N STE 205",
            "city": "BULVERDE",
            "state": "TX",
            "postal_code": "781633289",
            "telephone_number": "281-844-3286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "KRISTI",
        "middle_name": "JAN",
        "credential": "MS, LPC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "61460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "186082705",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bulverde, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; 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.