Active NPI
Kristy B Lohr, LPC
- Professional Counselor
- Waco, TX
National Provider Identifier
1104016773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 20207
- Practice address
- 110 S 12TH St
Waco, TX 76701-1810 - Phone
- (254) 752-3451
- NPI assigned
- Jul 30, 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 | 20207 | TX | Primary |
Addresses
Primary practice location
110 S 12TH St
Waco, TX 76701-1810
Mailing address
PO Box 890
Waco, TX 76703-0890
Phone (254) 752-3451
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20207 | Other | TX | LICENSED PROFESSIONAL COU |
Other names 1
- Kristy B Tyler
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20207 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185753600000",
"number": "1104016773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 890",
"city": "WACO",
"state": "TX",
"postal_code": "767030890",
"telephone_number": "254-752-3451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 S 12TH ST",
"city": "WACO",
"state": "TX",
"postal_code": "767011810",
"telephone_number": "254-752-3451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOHR",
"first_name": "KRISTY",
"middle_name": "B",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-30",
"last_updated": "2007-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "20207",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED PROFESSIONAL COU",
"identifier": "20207",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTY",
"last_name": "TYLER",
"middle_name": "B",
"code": "1",
"type": "Former Name"
}
]
}
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 Jul 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.