Individual provider Active NPI

Kaitlin Harris, MED, ATC,LAT, LPC

  • Mental Health Counselor
  • Colleyville, TX
National Provider Identifier
1326693631
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
87896 Issued in TX
Practice address
710 Centerpark Dr Ste 100
Colleyville, TX 76034-2850
Phone
(469) 496-1693
NPI assigned
Aug 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 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 87896 TX Primary
Athletic Trainer 2255A2300X AT5459 TX

Addresses

Primary practice location

710 Centerpark Dr Ste 100
Colleyville, TX 76034-2850

Mailing address

1312 W Exchange Pkwy Ste 2140
Allen, TX 75013-7122

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
87896TXMDMental Health Counselor
AT5459TXMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Couch Therapy PLLC Mental Health CurrentSince May 26, 2024 Accepting new patients

Locations

1312 W Exchange Pkwy
Ste 2140
Allen, TX 75013
Phone (469) 496-1693

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": "1564876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1326693631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 W EXCHANGE PKWY STE 2140",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750137122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 CENTERPARK DR STE 100",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760342850",
            "telephone_number": "469-496-1693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "KAITLIN",
        "name_prefix": "Miss",
        "credential": "MED, ATC,LAT, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-04",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "87896",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT5459",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colleyville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.