Individual provider Active NPI

Kenda J. Dietrich, LPC, LPA

  • Counselor
  • Corpus Christi, TX
National Provider Identifier
1538286414
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
15820 Issued in TX
Practice address
5440 Old Brownsville Rd
Corpus Christi, TX 78417-9765
Phone
(361) 906-0166
Fax
(361) 994-7550
NPI assigned
Mar 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 15820 TX Primary
Professional Counselor 101YP2500X 15820 TX

Addresses

Primary practice location

5440 Old Brownsville Rd
Corpus Christi, TX 78417-9765

Mailing address

5440 Old Brownsville Rd
Corpus Christi, TX 78417-9765
Phone (361) 906-0166

Other identifiers 1

IdentifierTypeStateIssuer
0960528-02MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1538286414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5440 OLD BROWNSVILLE RD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784179765",
            "telephone_number": "361-906-0166",
            "fax_number": "361-994-7550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5440 OLD BROWNSVILLE RD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784179765",
            "telephone_number": "361-906-0166",
            "fax_number": "361-994-7550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIETRICH",
        "first_name": "KENDA",
        "middle_name": "J.",
        "credential": "LPC, LPA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "15820",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "15820",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0960528-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.