Organization Active NPI

CRT Counseling, PA, Change Renewal Transition

  • Professional Counselor
  • Dallas, TX
National Provider Identifier
1477608750
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
10496 Issued in TX
Legal business name
CRT COUNSELING, PA, CHANGE RENEWAL TRANSITION
Practice address
9304 Forest LN
Suite 100-South
Dallas, TX 75243-6238
Phone
(214) 340-0208
Fax
(214) 340-7092
NPI assigned
Jan 24, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Kelly Aline Coutee, LPC
Title
Owner
Phone
(214) 340-0208

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 10496 TX Primary

Addresses

Primary practice location

9304 Forest LN
Suite 100-South
Dallas, TX 75243-6238

Mailing address

9304 Forest LN
Suite 100-South
Dallas, TX 75243-6238
Phone (214) 340-0208

National Provider Directory

National Provider Directory

Locations

9304 Forest Ln
Ste 100
Dallas, TX 75243
Phone (214) 340-0208

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477608750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9304 FOREST LN",
            "address_2": "SUITE 100-SOUTH",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752436238",
            "telephone_number": "214-340-0208",
            "fax_number": "214-340-7092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9304 FOREST LN",
            "address_2": "SUITE 100-SOUTH",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752436238",
            "telephone_number": "214-340-0208",
            "fax_number": "214-340-7092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRT COUNSELING, PA, CHANGE RENEWAL TRANSITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COUTEE",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "ALINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-340-0208",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "10496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.