Kristen Ann Gammel, LPC-ASSOCIATE

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

93045 Issued in TX

Practice address

3500 Hillcrest Drive
Suite 2B
Waco, TX 76708

Phone

(254) 230-8501

Fax

(254) 237-5369

NPI assigned

Oct 4, 2023

Last updated

Oct 4, 2023By the provider in NPPES

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

Other names 1

• Kristen Ann Gammel Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Etsah Counseling Center, PLLC

  dba Etsah Counseling

  • Mental Health Counselor
  • Waco, TX
  • NPI 1427591320
  NPD

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

{
    "created_epoch": "1696377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1255111316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 HILLCREST DR STE 2B",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767083100",
            "telephone_number": "254-230-8501",
            "fax_number": "254-237-5369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 HILLCREST DRIVE",
            "address_2": "SUITE 2B",
            "city": "WACO",
            "state": "TX",
            "postal_code": "76708",
            "telephone_number": "254-230-8501",
            "fax_number": "254-237-5369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMMEL",
        "first_name": "KRISTEN",
        "middle_name": "ANN",
        "credential": "LPC-ASSOCIATE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-04",
        "last_updated": "2023-10-04",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "93045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "GAMMEL",
            "middle_name": "ANN",
            "credential": "ANDERSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Andrew Gallucci, PHD, ATC, LAT
• Chanel Galvan, M.S. CCC-SLP
• Kenya Galvan
• Leslie Vivian Gamez
• Liliana Gamino, NP-C
• Sangeeta Sanjaykumar Gantayat, DMD
• Chelsea Katrina Garced, LMSW
• Dahlia Garces, M.D.
• Chelsea Jackson Garcia
• Hugo Cesar Garcia, DDS

• Professional Counselor in Waco, TX
• Providers in Waco, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; 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.