Active NPI
Kristin Harvick, MS, LPC
- Mental Health Counselor
- Richardson, TX
National Provider Identifier
1164097713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 80360
- Practice address
- 1755 N Collins Blvd Ste 310
Richardson, TX 75080-3592 - Phone
- (469) 659-1996
- Fax
- (469) 248-3635
- NPI assigned
- May 26, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 80360 | TX | Primary |
Addresses
Primary practice location
1755 N Collins Blvd Ste 310
Richardson, TX 75080-3592
Mailing address
1755 N Collins Blvd Ste 310
Richardson, TX 75080-3592
Phone (469) 659-1996
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 9, 2024 through Oct 9, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80360 | TX | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645574400000",
"number": "1164097713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1755 N COLLINS BLVD STE 310",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750803592",
"telephone_number": "469-659-1996",
"fax_number": "469-248-3635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1755 N COLLINS BLVD STE 310",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750803592",
"telephone_number": "469-659-1996",
"fax_number": "469-248-3635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARVICK",
"first_name": "KRISTIN",
"credential": "MS, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-26",
"last_updated": "2022-02-23",
"certification_date": "2022-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "80360",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richardson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.