NPIMap

Organization Active NPI

KC Creek Equestrian, LLC

  • Clinical Psychologist
  • Henderson, TX
National Provider Identifier
1174086714
Registry record updated Apr 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
KC CREEK EQUESTRIAN, LLC
Practice address
9906 CR 468 W
Henderson, TX 75654
Phone
(903) 646-1326
Fax
(903) 392-8267
NPI assigned
Apr 10, 2019
Last updated
Apr 10, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2019

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

Authorized official

Name
Dr. Laci Morgan, PSYDNPI 1720227648
Title
Psychologist
Phone
(903) 646-1326

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X Primary

Addresses

Primary practice location

9906 CR 468 W
Henderson, TX 75654

Mailing address

115 E Main St
Henderson, TX 75652-3167
Phone (903) 646-1326

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1554854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554854400000",
    "number": "1174086714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E MAIN ST",
            "city": "HENDERSON",
            "state": "TX",
            "postal_code": "756523167",
            "telephone_number": "903-646-1326",
            "fax_number": "903-392-8267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9906 CR 468 W",
            "city": "HENDERSON",
            "state": "TX",
            "postal_code": "75654",
            "telephone_number": "903-646-1326",
            "fax_number": "903-392-8267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KC CREEK EQUESTRIAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-10",
        "last_updated": "2019-04-10",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "LACI",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "903-646-1326",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2019; 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.