Individual provider Active NPI

Connie Lynn Kramer, M.A., LPC

  • Professional Counselor
  • Montgomery, TX
National Provider Identifier
1528931284
Registry record updated Sep 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
14068 Issued in TX
Practice address
123 Blue Heron Dr Ste 102
Montgomery, TX 77316-3192
Phone
(936) 449-8053
NPI assigned
Sep 27, 2025
Last updated
Sep 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 14068 TX Primary

Addresses

Primary practice location

123 Blue Heron Dr Ste 102
Montgomery, TX 77316-3192

Mailing address

3114 Willowbend Rd
Montgomery, TX 77356-5454
Phone (936) 537-6760

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251103002570 TX Practitioner - Mental Health Counselor 3779073374 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Conroe Counseling Center PLLCGroup PAC ID 4789026543, 4 clinicians

Practice addresses (Care Compare)

123 Blue Heron Dr
Suite 104
Montgomery, TX 77316-3192
Phone (936) 449-8053

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
14068TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Conroe Counseling Center, PLLC CurrentSince Oct 23, 2025 Accepting new patients
Sandstone Chiropratic, P.a. PastSince Oct 23, 2025 Accepting new patients

Locations

123 Blue Heron Dr
Ste 102
Montgomery, TX 77316
Phone (936) 449-8053

123 Blue Heron Dr
Ste 104
Montgomery, TX 77316
Phone (936) 449-8053

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": "1758931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758931200000",
    "number": "1528931284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3114 WILLOWBEND RD",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773565454",
            "telephone_number": "936-537-6760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 BLUE HERON DR STE 102",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773163192",
            "telephone_number": "936-449-8053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAMER",
        "first_name": "CONNIE",
        "middle_name": "LYNN",
        "credential": "M.A., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-27",
        "last_updated": "2025-09-27",
        "certification_date": "2025-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "14068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, TX

Sources for this page

Verify at the official NPI Registry.