Kimberly A Watts, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

68140 Issued in TX

Practice address

509 N Highway 95
Elgin, TX 78621

Phone

(512) 229-4001

NPI assigned

Feb 9, 2012

Last updated

Nov 17, 2019By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1328745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573948800000",
    "number": "1477826220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 264",
            "city": "ELGIN",
            "state": "TX",
            "postal_code": "786210264",
            "telephone_number": "512-229-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 N HIGHWAY 95",
            "city": "ELGIN",
            "state": "TX",
            "postal_code": "78621",
            "telephone_number": "512-229-4001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3700 S 1st St",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787047046",
            "country_code": "US",
            "telephone_number": "512-734-2419",
            "fax_number": "512-324-6871",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1165 Airport Blvd",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787023152",
            "country_code": "US",
            "telephone_number": "512-703-1311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1430 Collier St",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787042911",
            "country_code": "US",
            "telephone_number": "512-472-4357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATTS",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-09",
        "last_updated": "2019-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "68140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Elgin, TX
• Providers in Elgin, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.