Individual provider Active NPI

Kristi Kay Stevens, LPC-A

  • Mental Health Counselor
  • Plano, TX
National Provider Identifier
1235729831
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
90183 Issued in TX
Practice address
5700 W Plano Pkwy Ste 3600
Plano, TX 75093-2455
Phone
(469) 829-7516
NPI assigned
Jan 19, 2021
Last updated
Dec 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 90183 TX Primary
Behavior Technician 106S00000X

Addresses

Primary practice location

5700 W Plano Pkwy Ste 3600
Plano, TX 75093-2455

Mailing address

5700 W Plano Pkwy Ste 3600
Plano, TX 75093-2455
Phone (469) 829-7516

Other practice location 1

6401 Eldorado Pkwy
McKinney, TX 75070-5887
Phone (469) 712-5481

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 12, 2026 through Jan 12, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
90183TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Your Living Well PLLC Mental Health CurrentSince Oct 23, 2022 Accepting new patients
Fresh Start With Your Story, PLLC CurrentSince Jun 11, 2023 Accepting new patients

Locations

5700 W Plano Pkwy
Ste 3600
Plano, TX 75093
Phone (469) 829-7516

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1611014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672272000000",
    "number": "1235729831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 W PLANO PKWY STE 3600",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750932455",
            "telephone_number": "469-829-7516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 W PLANO PKWY STE 3600",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750932455",
            "telephone_number": "469-829-7516"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6401 Eldorado Pkwy",
            "address_purpose": "LOCATION",
            "city": "McKinney",
            "state": "TX",
            "postal_code": "750705887",
            "country_code": "US",
            "telephone_number": "469-712-5481",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "KRISTI",
        "middle_name": "KAY",
        "credential": "LPC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-19",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "90183",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.