Individual provider Active NPI

Kimberly Lynn Hardy, LPC, LCDC

  • Professional Counselor
  • Justin, TX
National Provider Identifier
1487200960
Registry record updated Jul 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
92274 Issued in TX
Practice address
211 W 5TH St
Justin, TX 76247-4622
Phone
(940) 202-9017
NPI assigned
Aug 12, 2019
Last updated
Jul 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 14972 TX
Professional Counselor 101YP2500X 92274 TX Primary

Addresses

Primary practice location

211 W 5TH St
Justin, TX 76247-4622

Mailing address

9201 Hidden Pond St
Justin, TX 76247-1798
Phone (817) 689-9406

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
14972TXMDAddiction (Substance Use Disorder) Counselor
92274TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grateful Heart Counseling, PLLC Mental Health CurrentSince Jun 29, 2025 Accepting new patients
Rayl Enterprises Addiction (Substance Use Disorder) PastSince Aug 1, 2019 Accepting new patients

Locations

211 W 5th St
Justin, TX 76247
Phone (940) 202-9010

211 W 5th St
Ste 2
Justin, TX 76247

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1565568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751673600000",
    "number": "1487200960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9201 HIDDEN POND ST",
            "city": "JUSTIN",
            "state": "TX",
            "postal_code": "762471798",
            "telephone_number": "817-689-9406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 W 5TH ST",
            "city": "JUSTIN",
            "state": "TX",
            "postal_code": "762474622",
            "telephone_number": "940-202-9017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDY",
        "first_name": "KIMBERLY",
        "middle_name": "LYNN",
        "credential": "LPC, LCDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-12",
        "last_updated": "2025-07-05",
        "certification_date": "2025-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "14972",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "92274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Justin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2025; 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.