Individual provider Active NPI

Kathleen M. Harmatuk, LPC

  • Professional Counselor
  • Spring, TX
National Provider Identifier
1316068323
Registry record updated Aug 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
63633 Issued in TX
Practice address
6823 Cypresswood Dr
Spring, TX 77379-7705
Phone
(281) 376-8006
Fax
(281) 376-8008
NPI assigned
Apr 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180.006317 IL
Professional Counselor 101YP2500X 63633 TX Primary

Addresses

Primary practice location

6823 Cypresswood Dr
Spring, TX 77379-7705

Mailing address

4803 San Felipe St
Houston, TX 77056-3907
Phone (630) 653-1717

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
180.006317ILMDProfessional Counselor
63633TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Interface-Samaritan Counseling Centers PastSince Nov 8, 2012 Accepting new patients

Organizations & group practices 1

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": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249603200000",
    "number": "1316068323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4803 SAN FELIPE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770563907",
            "telephone_number": "630-653-1717",
            "fax_number": "713-627-7715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6823 CYPRESSWOOD DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773797705",
            "telephone_number": "281-376-8006",
            "fax_number": "281-376-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARMATUK",
        "first_name": "KATHLEEN",
        "middle_name": "M.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2009-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.006317",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "63633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2009; 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.