Kristin Nicole Mauritzen, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

63444 Issued in TX

Practice address

3920 Alma Road
Plano, TX 75023

Phone

(972) 422-5939

Fax

(972) 509-0923

NPI assigned

May 21, 2009

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 identifiers 1

Other names 1

• Kristen Nicole Thorn Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1242864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264464000000",
    "number": "1285869115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 ALMA ROAD",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75023",
            "telephone_number": "972-422-5939",
            "fax_number": "972-509-0923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 ALMA ROAD",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75023",
            "telephone_number": "972-422-5939",
            "fax_number": "972-509-0923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAURITZEN",
        "first_name": "KRISTIN",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-21",
        "last_updated": "2010-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "63444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201823601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "THORN",
            "middle_name": "NICOLE",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Patricia L Matzke, MS, OTR
• Ula Mauardy
• Joshua Andrew Maultsby, D.D.S
• Carolyn G. Maurer, PHD
• Maurice Barnett Geriatric Wellness Center, Inc.
• Neghae Mawla, MD
• Carlene Marcella Maxie, LCSW
• Courtney Maxwell
• Anniella Alexandra May, LPC
• Chelsie Casandra May

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2010; 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.