Active NPI
Kristina Devillier, M.ED., L.P.C.
- Professional Counselor
- Nederland, TX
National Provider Identifier
1336521210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 69063
- Practice address
- 520 S Twin City Hwy Ste 106
Nederland, TX 77627 - Phone
- (409) 718-0800
- Fax
- (888) 295-3022
- NPI assigned
- Jun 26, 2015
- Last updated
- Jun 15, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 69063 | TX | Primary |
Addresses
Primary practice location
520 S Twin City Hwy Ste 106
Nederland, TX 77627
Mailing address
PO Box 401
Nederland, TX 77627-0401
Phone (409) 718-5418
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
| License | State | Type | Specialty |
|---|---|---|---|
| 69063 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529020800000",
"number": "1336521210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 401",
"city": "NEDERLAND",
"state": "TX",
"postal_code": "776270401",
"telephone_number": "409-718-5418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 S TWIN CITY HWY STE 106",
"city": "NEDERLAND",
"state": "TX",
"postal_code": "77627",
"telephone_number": "409-718-0800",
"fax_number": "888-295-3022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVILLIER",
"first_name": "KRISTINA",
"name_prefix": "Mrs.",
"credential": "M.ED., L.P.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-26",
"last_updated": "2018-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "69063",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nederland, TX
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- Diagnostic Group IHS
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- Kortni Duplecion, M.S., CCC-SLP
- Jennifer Lee East, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.