Katherine E Rediske, MA, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

75144 Issued in TX

Practice address

1210 Coryell City Rd
Gatesville, TX 76528-2913

Phone

(254) 865-9398

NPI assigned

Oct 27, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25870/brand/1/csg/1/fhir/r4
• Direct secure messaging: katherine.rediske.1@25870.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Baobab Psychiatric Services, PLLC

  • Psychiatry Physician
  • Round Rock, TX
  • NPI 1861144032
  NPD (past)

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

{
    "created_epoch": "1666828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1417664673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1629 HILLSIDE DR",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765025774",
            "telephone_number": "512-695-9634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 CORYELL CITY RD",
            "city": "GATESVILLE",
            "state": "TX",
            "postal_code": "765282913",
            "telephone_number": "254-865-9398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDISKE",
        "first_name": "KATHERINE",
        "middle_name": "E",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-27",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "75144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Carey Podbielski, FNP-C
• Daryl K Potter, FNP-C
• Joanne E Pritchard, MD
• Kelley R Raley, PHARM.D.
• Real Life Services (RLS)
• Tracy Rhiner
• Richard'S Wheel Chair Repair Ser
• Richards Wheelchairrepairser
• Michelle Richey, FNP-BC
• Yazmin Robledo

• Mental Health Counselor in Gatesville, TX
• Providers in Gatesville, 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 Oct 27, 2022; 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.