Individual provider Active NPI

Kristin L Volck, LPC

  • Mental Health Counselor
  • Flower Mound, TX
National Provider Identifier
1326033101
Registry record updated Jan 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC 70960 Issued in TX
Practice address
3200 Long Prairie Rd
Ste 100
Flower Mound, TX 75022-2718
Phone
(972) 350-0225
NPI assigned
Sep 16, 2005
Last updated
Jan 27, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC 70960 TX Primary

Addresses

Primary practice location

3200 Long Prairie Rd
Ste 100
Flower Mound, TX 75022-2718

Mailing address

1881 Airport Fwy Apt 1111
Euless, TX 76040-4065
Phone (850) 361-9404

Other identifiers 2

IdentifierTypeStateIssuer
TX LPC 70960OtherTXTX LPC
FL LMHC 5370OtherFLLMHC FL

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
LPC 70960TXMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390780800000",
    "number": "1326033101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1881 AIRPORT FWY APT 1111",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760404065",
            "telephone_number": "850-361-9404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 LONG PRAIRIE RD",
            "address_2": "STE 100",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750222718",
            "telephone_number": "972-350-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOLCK",
        "first_name": "KRISTIN",
        "middle_name": "L",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-16",
        "last_updated": "2014-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "LPC 70960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX LPC",
            "identifier": "TX LPC 70960",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMHC FL",
            "identifier": "FL LMHC 5370",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flower Mound, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2014; 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.