Individual provider Active NPI

Krystal Kellough

  • Peer Specialist
  • Frisco, TX
National Provider Identifier
1588512743
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
2616-0226 Issued in TX
Practice address
5570 FM 423 Ste 250
Frisco, TX 75036-8929
Phone
(469) 200-2109
NPI assigned
Mar 20, 2026
Last updated
Mar 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X 2616-0226 TX Primary

Addresses

Primary practice location

5570 FM 423 Ste 250
Frisco, TX 75036-8929

Mailing address

5570 FM 423 Ste 250
Frisco, TX 75036-8929

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
2616-0226TXMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Inyouniq Era LLC Current Accepting new patients
Youniq Era Corporation Current Accepting new patients

Locations

5570 FM 423
Ste 250
Frisco, TX 75036
Phone (210) 510-0632

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": "1773964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773964800000",
    "number": "1588512743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5570 FM 423 STE 250",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750368929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5570 FM 423 STE 250",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750368929",
            "telephone_number": "469-200-2109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLOUGH",
        "first_name": "KRYSTAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-03-20",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "TX",
            "license": "2616-0226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2026; 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.