Individual provider Active NPI

Denean Renee Kline, NCC, LPC, LCDC, SAP

  • Professional Counselor
  • Mansfield, TX
National Provider Identifier
1407059454
Registry record updated Feb 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
63034 Issued in TX
Practice address
1848 Lone Star Rd Ste 109
Mansfield, TX 76063
Phone
(817) 239-5488
NPI assigned
Jun 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3429 LA
Professional Counselor 101YP2500X 63034 TX Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 10370 TX

Addresses

Primary practice location

1848 Lone Star Rd Ste 109
Mansfield, TX 76063

Mailing address

1848 Lone Star Rd Ste 109
Mansfield, TX 76063-5785
Phone (817) 239-5488

Other practice location 1

4038 Lemmon Ave
Dallas, TX 75219-3736
Phone (214) 219-1116

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

State licenses

LicenseStateTypeSpecialty
10370TXMDAddiction (Substance Use Disorder) Counselor
63034TXMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549324800000",
    "number": "1407059454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1848 LONE STAR RD STE 109",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760635785",
            "telephone_number": "817-239-5488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1848 LONE STAR RD STE 109",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "76063",
            "telephone_number": "817-239-5488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4038 Lemmon Ave",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752193736",
            "country_code": "US",
            "telephone_number": "214-219-1116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLINE",
        "first_name": "DENEAN",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "NCC, LPC, LCDC, SAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-07",
        "last_updated": "2019-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "3429",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "63034",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "10370",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2019; 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.