Active NPI
Kristin Lee Thompson, LCSW
- Social Worker
- Carrollton, TX
National Provider Identifier
1245481969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 51863
- Practice address
- 1428 W Hebron Pkwy
Ste 135
Carrollton, TX 75010-6345 - Phone
- (512) 468-9619
- NPI assigned
- Oct 1, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 51863 | TX | Primary |
Addresses
Primary practice location
1428 W Hebron Pkwy
Ste 135
Carrollton, TX 75010-6345
Mailing address
9220 Kaitlyn CT
Lantana, TX 76226-1370
Phone (512) 468-9619
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51863 | Other | TX | TEXAS STATE BOARD OF SOCIAL WORK EXAMINERS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 9, 2025 through Oct 9, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51863 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467244800000",
"number": "1245481969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9220 KAITLYN CT",
"city": "LANTANA",
"state": "TX",
"postal_code": "762261370",
"telephone_number": "512-468-9619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1428 W HEBRON PKWY",
"address_2": "STE 135",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750106345",
"telephone_number": "512-468-9619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "KRISTIN",
"middle_name": "LEE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-01",
"last_updated": "2016-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "51863",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS STATE BOARD OF SOCIAL WORK EXAMINERS",
"identifier": "51863",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Carrollton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2016; 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.