Organization Active NPI

Kari Leavell, PHD, PLLC

  • Adult Mental Health Clinic/Center
  • Grapevine, TX
National Provider Identifier
1396124285
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
KARI LEAVELL, PHD, PLLC
Practice address
1135 S Main St
Grapevine, TX 76051-7533
Phone
(817) 329-5041
Fax
(844) 729-1745
NPI assigned
May 25, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Authorized official

Name
Meredith Whitley
Title
Office Manager
Phone
(817) 329-5041

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 36818 TX
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

1135 S Main St
Grapevine, TX 76051-7533

Mailing address

1135 S Main St
Grapevine, TX 76051-7533
Phone (817) 329-5041

Other names 1

  • Grapevine Psychology Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 844-729-1745 Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200929001330 TX Part B Supplier - Clinic/Group Practice 3971922717 Receives reassigned benefits from 5 practitioners
Practice locations: Grapevine, TX

National Provider Directory

National Provider Directory

Locations

305 Miron Dr
Southlake, TX 76092
Phone (682) 554-2946

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1432512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738713600000",
    "number": "1396124285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 S MAIN ST",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760517533",
            "telephone_number": "817-329-5041",
            "fax_number": "844-729-1745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 S MAIN ST",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760517533",
            "telephone_number": "817-329-5041",
            "fax_number": "844-729-1745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KARI LEAVELL, PHD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-25",
        "last_updated": "2025-02-05",
        "certification_date": "2025-01-23",
        "status": "A",
        "authorized_official_last_name": "WHITLEY",
        "authorized_official_first_name": "MEREDITH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "817-329-5041"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": "36818",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "844-729-1745",
            "affiliation": "N",
            "endpointDescription": "HIPPA Secure E-fax",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "PDF",
            "address_1": "1135 S Main St",
            "city": "Grapevine",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760517533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Grapevine Psychology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grapevine, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.