Kristin Gail Wurster, PHD

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

39029 Issued in TX

Practice address

202 W Sandy Lake Rd Ste 105
Coppell, TX 75019-2201

Phone

(319) 621-3805

NPI assigned

Oct 29, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1635465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1568126019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 W SANDY LAKE RD STE 105",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750192201",
            "telephone_number": "972-827-6023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 W SANDY LAKE RD STE 105",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750192201",
            "telephone_number": "319-621-3805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WURSTER",
        "first_name": "KRISTIN",
        "middle_name": "GAIL",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-29",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "TX",
            "license": "39029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drwurster@rosetherapycenter.com",
            "affiliation": "Y",
            "affiliationName": "Rose Assessment and Therapy Center",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "202 W Sandy Lake Rd Ste 105",
            "city": "Coppell",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750192201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Counseling Psychologist in Coppell, TX
• Providers in Coppell, TX by specialty
• Counseling Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; 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.