Krista Mickelsen, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

116808 Issued in TX

Practice address

12915 Jones Maltsberger Rd Ste 201
San Antonio, TX 78247-4540

Phone

(210) 404-4317

NPI assigned

Aug 3, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Krista Brown Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Northeast Counseling Center, PLLC

  • Clinical Social Worker
  • San Antonio, TX
  • NPI 1477198141
  NPD (past)

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

{
    "created_epoch": "1785715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1104749662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 ROAN TRCE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584856",
            "telephone_number": "210-404-4317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12915 JONES MALTSBERGER RD STE 201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782474540",
            "telephone_number": "210-404-4317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICKELSEN",
        "first_name": "KRISTA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-03",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "116808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTA",
            "last_name": "BROWN",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Erik Eugene Michener, DC
• David Clinton Michna, PT
• Michon Tucker
• Kathleen Miciano
• Michele Annette Mick, PH.D.
• Rachel Ann Mickelsen, LPC, LCDC
• Benjamin J Mickens
• Jenna Mickey, PT, DPT
• Rebecca Naomi Mickle
• Microtia Congenital Ear Institute

• Clinical Social Worker in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.