Krisann Stegall

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

79079 Issued in TX

Practice address

6012 Reef Point LN Ste C
Fort Worth, TX 76135-2056

Phone

(682) 312-8184

NPI assigned

Apr 26, 2020

Sex

Female

Sole proprietor

No

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

State licenses

Practice roles

Locations

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.

• Journey Behavioral Health Center PLLC

  • Professional Counselor
  • Fort Worth, TX
  • NPI 1285400424
  NPD
• The Oaks Life Center, PLLC

  • Clinical Social Worker
  • Fort Worth, TX
  • NPI 1588036370

  Mental Health

  NPD

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

{
    "created_epoch": "1587859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587859200000",
    "number": "1467072876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4832 DEAL DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761351634",
            "telephone_number": "817-707-1575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6012 REEF POINT LN STE C",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761352056",
            "telephone_number": "682-312-8184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEGALL",
        "first_name": "KRISANN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-26",
        "last_updated": "2020-04-26",
        "certification_date": "2020-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "79079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krisann@theoakslifecenter.com",
            "affiliation": "N",
            "endpointDescription": "The Oaks Life Center",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6012 Reef Point Ln Ste C",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761352056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Marie S Steffens, LCSW
• Benjamin T Stefka, ATC
• Alvie Theral Stegall
• Aricka J Stegall
• Diane Stegall
• Cara Joy Stein
• Kaitlyn Leigh Steiner
• Jamie Tamaron Steinert, FPMHNP
• Amanda Michelle Stell, AUD
• Callan Stell

• Mental Health Counselor in Fort Worth, TX
• Providers in Fort Worth, 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 Apr 26, 2020; 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.