Kasey Van Norman, MA, LPC-A, LCDC, CTS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

85905 Issued in TX

Practice address

2490 Boonville Rd
Bryan, TX 77808-2326

Phone

(979) 703-1808

NPI assigned

Aug 12, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1628726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1376218339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6682",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778056682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2490 BOONVILLE RD",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778082326",
            "telephone_number": "979-703-1808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN NORMAN",
        "first_name": "KASEY",
        "credential": "MA, LPC-A, LCDC, CTS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-12",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "85905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "SIMPLEPRACTICE.COM",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2490 Boonville Rd",
            "city": "Bryan",
            "state": "TX",
            "country_code": "US",
            "postal_code": "778082326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mark Andrew Valasek, MD PHD
• Olga Lydia Valdez
• Belinda Valenzuela, LPC-ASSOCIATE
• Miraflor Valino-Pak, PT
• Kelly Van Cleave, O.D.
• Laura Van Ravenswaay
• Daniel R Vanlaningham, O.D.
• Tyler Varner
• Kyle Varvel, M.D.
• Rejeesh Vijaya Vasudev, M.D.

• Mental Health Counselor in Bryan, TX
• Providers in Bryan, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; 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.