Kirsten Charlotte Northrup, M.M.F.T, LPC, LMFT

Primary specialty

CounselorTaxonomy code 101Y00000X

License

61536 Issued in TX

Practice address

21015 Market Ridge
Ste. 101
San Antonio, TX 78258-4979

Phone

(210) 884-1419

Fax

(210) 496-0101

NPI assigned

May 17, 2010

Last updated

Jul 8, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 6, 2024 through Feb 6, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lindsay Durham Ma LMFT PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Antonio, TX
  • NPI 1962029504
  NPD
• Northrup Therapy

  • Mental Health Counselor
  • San Antonio, TX
  • NPI 1700334604
  NPD
• Melissa McVicker PHD LMFT PLLC

  • Marriage & Family Therapist
  • San Antonio, TX
  • NPI 1689268161
  NPD (past)
• Teo Therapy Services

  • Mental Health Counselor
  • San Antonio, TX
  • NPI 1316664592
  NPD (past)

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

{
    "created_epoch": "1274054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1215255104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21015 MARKET RIDGE",
            "address_2": "STE. 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584979",
            "telephone_number": "210-884-1419",
            "fax_number": "210-496-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21015 MARKET RIDGE",
            "address_2": "STE. 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584979",
            "telephone_number": "210-884-1419",
            "fax_number": "210-496-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORTHRUP",
        "first_name": "KIRSTEN",
        "middle_name": "CHARLOTTE",
        "name_prefix": "Mrs.",
        "credential": "M.M.F.T, LPC, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-17",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "61536",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "10220",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "202789",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northridge Behavioral Health PLLC
• Michael S. Northrop, M.D.
• Northrup Counseling
• Northrup Therapy
• Jason Northrup, PH.D., LMFT-S
• Russell Northrup, PT
• Northside Family Counseling Center (NFCC)
• Northside Independent School District
• Northside Independent School District
• Northwest Anesthesiology Sa, P.a.

• Counselor in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; 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.

Verify at the official NPI Registry.