Kylie Henry, LPC INTERN

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

80272 Issued in TX

Practice address

2115 Teakwood LN Ste 100
Plano, TX 75075-4407

Phone

(940) 390-1077

NPI assigned

Feb 11, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Deep Waters Therapy, PLLC

  • Mental Health Counselor
  • Frisco, TX
  • NPI 1104798388
  NPD Authorized official

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

{
    "created_epoch": "1581379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1235761941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6105 SAINTSBURY DR APT 22",
            "city": "THE COLONY",
            "state": "TX",
            "postal_code": "750564125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 TEAKWOOD LN STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750754407",
            "telephone_number": "940-390-1077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Crescent Ct Ste 700",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752012112",
            "country_code": "US",
            "telephone_number": "940-390-1077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENRY",
        "first_name": "KYLIE",
        "name_prefix": "Mrs.",
        "credential": "LPC INTERN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-11",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "80272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Hennen, D.C.
• Steve Hennessy
• Addet Natalie Henry-Scott
• Gina Henry, MS, FDN-P
• Kenneth J Henry, DDS
• Kodie Henscheid, L.P.C.
• Shelbee Hensley, LPC
• James Joseph Heptig, D.C.
• Herald Rehabilitation, LLC
• Frances B Herbert, M.D.

• Mental Health Counselor in Plano, TX
• Providers in Plano, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; 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.