Individual provider Active NPI

Krystal Klein, LPC, LCDC

  • Professional Counselor
  • Bandera, TX
National Provider Identifier
1275119489
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
81614 Issued in TX
Practice address
3120 Palomino SPGS
Bandera, TX 78003-2968
Phone
(940) 366-3126
NPI assigned
Mar 19, 2021
Last updated
May 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 81614 TX Primary

Addresses

Primary practice location

3120 Palomino SPGS
Bandera, TX 78003-2968

Mailing address

3120 Palomino SPGS
Bandera, TX 78003-2968
Phone (940) 366-3126

Other identifiers 1

IdentifierTypeStateIssuer
000000000000000MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260505001116 TX Practitioner - Mental Health Counselor 6507334935 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

17503 La Cantera Pkwy
Suite 104
San Antonio, TX 78257-4000

400 N Allen Dr
Suite 204
Allen, TX 75013-2568

5508 N 31St St
McAllen, TX 78504-5100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: krystal.klein.1@30520.direct.athenahealth.com

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": "1616112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1275119489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 PALOMINO SPGS",
            "city": "BANDERA",
            "state": "TX",
            "postal_code": "780032968",
            "telephone_number": "940-366-3126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 PALOMINO SPGS",
            "city": "BANDERA",
            "state": "TX",
            "postal_code": "780032968",
            "telephone_number": "940-366-3126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "KRYSTAL",
        "credential": "LPC, LCDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-19",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "81614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000000000000000",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bandera, TX

Sources for this page

Verify at the official NPI Registry.