Active NPI
Kari Leavell, PHD, PLLC
- Adult Mental Health Clinic/Center
- Grapevine, TX
National Provider Identifier
1396124285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | 844-729-1745 | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200929001330 | TX | Part B Supplier - Clinic/Group Practice | 3971922717 |
Receives reassigned benefits from 5 practitioners Practice locations: Grapevine, TX |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Mental Health Counselor
- Grapevine, TX
- NPI 1295306611
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.