Individual provider Active NPI

Kyntra Chandler Lighten, MED

  • Professional Counselor
  • Spring, TX
National Provider Identifier
1174629281
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
19226 Issued in TX
Practice address
7815 Hertfordshire Dr
Spring, TX 77379-4652
Phone
(281) 570-4523
Fax
(281) 570-4524
NPI assigned
Sep 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2024

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 19226 TX Primary

Addresses

Primary practice location

7815 Hertfordshire Dr
Spring, TX 77379-4652

Mailing address

7815 Hertfordshire Dr
Spring, TX 77379-4652
Phone (281) 570-4523

Other identifiers 2

IdentifierTypeStateIssuer
171494103MedicaidTX
171494105MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240905003088 TX Practitioner - Mental Health Counselor 6002356060 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
19226TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lighten Counseling Services LLC CurrentSince Jul 22, 2024 Accepting new patients
Enlightenment Counseling LLC Professional Past Accepting new patients

Locations

19703 Highway 59 N
Ste B
Humble, TX 77338

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1174629281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7815 HERTFORDSHIRE DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773794652",
            "telephone_number": "281-570-4523",
            "fax_number": "281-570-4524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7815 HERTFORDSHIRE DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773794652",
            "telephone_number": "281-570-4523",
            "fax_number": "281-570-4524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIGHTEN",
        "first_name": "KYNTRA",
        "middle_name": "CHANDLER",
        "name_prefix": "Ms.",
        "credential": "MED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "19226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171494103",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171494105",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

Verify at the official NPI Registry.