Individual provider Active NPI

Michael Kinser, M.DIV-B.L., L.M.F.T.

  • Marriage & Family Therapist
  • Round Rock, TX
National Provider Identifier
1508520420
Registry record updated Mar 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
201364 Issued in TX
Practice address
2851 Joe Dimaggio Blvd Ste 4
Round Rock, TX 78665-3928
Phone
(512) 289-7814
NPI assigned
Oct 27, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral Counselor 101YP1600X TX
Marriage & Family Therapist 106H00000X 201364 TX Primary

Addresses

Primary practice location

2851 Joe Dimaggio Blvd Ste 4
Round Rock, TX 78665-3928

Mailing address

2851 Joe Dimaggio Blvd Ste 4
Round Rock, TX 78665-3928
Phone (512) 289-7814

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL michael@michaelkinser.com Direct

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
201364TXMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740787200000",
    "number": "1508520420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2851 JOE DIMAGGIO BLVD STE 4",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786653928",
            "telephone_number": "512-289-7814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2851 JOE DIMAGGIO BLVD STE 4",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786653928",
            "telephone_number": "512-289-7814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINSER",
        "first_name": "MICHAEL",
        "credential": "M.DIV-B.L., L.M.F.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-27",
        "last_updated": "2025-03-01",
        "certification_date": "2025-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "201364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "michael@michaelkinser.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2851 Joe DiMaggio Blvd Ste 4",
            "city": "Round Rock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786653928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.