Individual provider Active NPI

Katrina Louise Spivey, LPC

  • Professional Counselor
  • New Braunfels, TX
National Provider Identifier
1255801726
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
74567 Issued in TX
Practice address
1067 FM 306 Ste 607
New Braunfels, TX 78130-6897
Phone
(830) 837-5550
Fax
(210) 352-9575
NPI assigned
Nov 27, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2024

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 74567 TX
Professional Counselor 101YP2500X 74567 TX Primary

Addresses

Primary practice location

1067 FM 306 Ste 607
New Braunfels, TX 78130-6897

Mailing address

1067 FM 306 Ste 607
New Braunfels, TX 78130-6897
Phone (830) 837-5550

Other identifiers 1

IdentifierTypeStateIssuer
409254601MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
74567TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Connections Individual and Family Services, Inc. Past Accepting new patients
Jennifer a. Mitchell PLLC PastSince Apr 1, 2023 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1543276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1255801726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1067 FM 306 STE 607",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781306897",
            "telephone_number": "830-837-5550",
            "fax_number": "210-352-9575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1067 FM 306 STE 607",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781306897",
            "telephone_number": "830-837-5550",
            "fax_number": "210-352-9575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIVEY",
        "first_name": "KATRINA",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-27",
        "last_updated": "2024-05-31",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "74567",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "74567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "409254601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; 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.